Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.02	Professional		$2.00	$2.00	$3.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $12.88 / $21.38	Facility		$5.89	$12.88	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $6.03	Facility		$3.02	$3.02	$6.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $3.09	Facility		$2.09	$2.09	$3.09
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Professional		$2.95	$2.95	$2.95