Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $27.53 / $27.53	Facility		$27.53	$27.53	$27.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $24.05 / $27.53	Professional		$24.05	$24.05	$27.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $51.81 / $84.43	Facility		$14.13	$51.81	$84.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Facility		$24.63	$24.63	$24.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $24.63 / $24.63	Facility		$21.97	$24.63	$24.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
United Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Facility		$25.05	$25.05	$25.05