Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $9.05 / $34.58	Facility		$6.24	$9.05	$34.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $10.05 / $14.78	Professional		$5.60	$10.05	$14.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $77.89 / $721.57	Facility		$21.16	$77.89	$721.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $9.94	Professional		$7.36	$7.36	$9.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $4.23 / $9.05	Facility		$0.96	$4.23	$9.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05