Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $994.40 / $1,203.25 / $81,099.99	Facility		$994.40	$1,203.25	$81,099.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $191.60 / $1,500.00	Professional		$60.00	$191.60	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80