Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $590.77 / $590.77	Facility		$155.18	$590.77	$590.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.18 / $221.60 / $263.19	Professional		$155.18	$221.60	$263.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.09 / $891.36 / $1,452.46	Facility		$243.09	$891.36	$1,452.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Professional		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $76.66 / $164.28	Professional		$54.76	$76.66	$164.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.36 / $240.00 / $263.19	Facility		$174.36	$240.00	$263.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $160.82 / $2,250,000.00	Professional		$146.27	$160.82	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $292.54 / $456.40	Professional		$197.62	$292.54	$456.40