Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.32 / $454.96 / $487.16	Facility		$423.32	$454.96	$487.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $180.00 / $187.27	Professional		$98.73	$180.00	$187.27
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 $87.83 / $87.83 / $93.98	Professional		$87.83	$87.83	$93.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $65.17 / $139.65	Professional		$38.34	$65.17	$139.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.93 / $167.45 / $180.00	Facility		$110.93	$167.45	$180.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $87.22 / $2,250,000.00	Professional		$78.91	$87.22	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $297.10 / $442.84	Professional		$186.50	$297.10	$442.84