Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $92.00 / $174.80	Facility		$19.82	$92.00	$174.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $87.35 / $106.08	Professional		$74.01	$87.35	$106.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.81 / $399.72 / $709.76	Facility		$185.81	$399.72	$709.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $87.35 / $106.08	Facility		$74.73	$87.35	$106.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $2,250,000.00	Professional		$87.12	$87.12	$2,250,000.00