Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.80 / $1,905.47 / $5,500.00	Facility		$497.80	$1,905.47	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $60.88 / $60.88	Professional		$35.74	$60.88	$60.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $155.55 / $253.46	Facility		$42.42	$155.55	$253.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $45.06 / $45.06	Professional		$45.06	$45.06	$45.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.88 / $60.88 / $60.88	Facility		$60.88	$60.88	$60.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $45.06 / $2,400,000.00	Professional		$45.06	$45.06	$2,400,000.00