Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.65 / $367.65 / $685.71	Facility		$367.65	$367.65	$685.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.39 / $180.92	Professional		$4.90	$5.39	$180.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $77,999.99 / $94,999.99	Facility		$21.02	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $5.58 / $14.04	Facility		$5.58	$5.58	$14.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $5.58	Professional		$4.86	$4.86	$5.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $5.58 / $14.04	Facility		$5.58	$5.58	$14.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.27 / $6.87	Professional		$4.86	$5.27	$6.87
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86