Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.65 / $27.12	Professional		$21.70	$23.65	$27.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.62 / $68,999.99 / $94,999.99	Facility		$73.62	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $136.25	Facility		$32.36	$32.36	$136.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $32.36	Professional		$21.70	$21.70	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $26.81 / $78.38	Facility		$13.86	$26.81	$78.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $29.40 / $39.54	Professional		$27.63	$29.40	$39.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70