Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $5.19 / $5.19	Facility		$3.35	$5.19	$5.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $4.25 / $7.47	Professional		$3.35	$4.25	$7.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $17.02 / $28.95	Facility		$4.84	$17.02	$28.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Facility		$3.35	$3.35	$3.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.35 / $3.35	Facility		$3.23	$3.35	$3.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
United Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $5.38	Facility		$3.26	$3.26	$5.38
United Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35