Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $35.27 / $47.03	Professional		$4.00	$35.27	$47.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $8.34 / $8.34	Professional		$8.34	$8.34	$8.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $4.00 / $85.00	Professional		$2.80	$4.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $2,250,000.00 / $2,400,000.00	Professional		$8.34	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42