Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.89 / $118.89 / $246.01	Facility		$118.89	$118.89	$246.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $165.16 / $196.81	Professional		$118.89	$165.16	$196.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $224.76 / $305.67	Professional		$143.84	$224.76	$305.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $244.53	Professional		$32.34	$32.34	$244.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $208.00 / $235.22	Facility		$143.54	$208.00	$235.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $281.14 / $2,250,000.00	Professional		$156.00	$281.14	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $176.91 / $355.94	Professional		$158.13	$176.91	$355.94