Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $61.28 / $126.83	Facility		$61.28	$61.28	$126.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $84.63 / $101.46	Professional		$61.28	$84.63	$101.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $81.80 / $190.01	Professional		$20.73	$81.80	$190.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $110.80 / $157.55	Professional		$70.61	$110.80	$157.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $32.34 / $1,000.00	Professional		$28.98	$32.34	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $112.32 / $206.69	Facility		$72.93	$112.32	$206.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $138.15 / $2,250,000.00	Professional		$80.40	$138.15	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $169.97 / $339.94	Professional		$150.04	$169.97	$339.94