Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $631.16	Professional		$5.81	$5.81	$631.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,034.43 / $2,528.94 / $4,000.86	Facility		$2,034.43	$2,528.94	$4,000.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.24 / $473.24 / $473.24	Facility		$473.24	$473.24	$473.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.75 / $533.75 / $533.75	Professional		$533.75	$533.75	$533.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $1,500.00	Professional		$50.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $5.81 / $473.24	Facility		$5.81	$5.81	$473.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $533.75 / $2,250,000.00 / $2,400,000.00	Professional		$533.75	$2,250,000.00	$2,400,000.00