Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $4,290.00	Facility		$30.00	$30.00	$4,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $21.01	Professional		$21.01	$21.01	$21.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $86,999.99	Facility		$36.00	$36.00	$86,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $48.00	Professional		$36.00	$36.00	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $39.38 / $39.38	Facility		$39.38	$39.38	$39.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $39.38 / $39.38	Professional		$29.00	$39.38	$39.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $39.38 / $39.38	Facility		$39.38	$39.38	$39.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $39.38 / $39.38	Professional		$29.00	$39.38	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $13.86 / $15.68	Professional		$12.58	$13.86	$15.68