Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $590.77 / $590.77	Facility		$99.25	$590.77	$590.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $147.31 / $168.32	Professional		$99.25	$147.31	$168.32
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 $72.33 / $72.33 / $72.33	Professional		$72.33	$72.33	$72.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $60.00 / $115.00	Professional		$32.86	$60.00	$115.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $150.00 / $168.32	Facility		$111.51	$150.00	$168.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $2,250,000.00	Professional		$88.53	$88.53	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $268.08 / $389.56	Professional		$177.58	$268.08	$389.56