Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.26 / $174.26 / $345.04	Facility		$174.26	$174.26	$345.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $265.56 / $276.02	Professional		$174.26	$265.56	$276.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.43 / $943.94 / $1,538.14	Facility		$257.43	$943.94	$1,538.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $49.12 / $49.12	Facility		$49.12	$49.12	$49.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $109.98 / $153.43	Professional		$69.50	$109.98	$153.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $32.34 / $138.99	Professional		$29.63	$32.34	$138.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $117.79 / $203.60	Facility		$81.59	$117.79	$203.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $134.53 / $2,250,000.00	Professional		$78.86	$134.53	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $264.89 / $557.73	Professional		$86.56	$264.89	$557.73