Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Facility		$9.60	$9.60	$9.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $12.00	Professional		$9.60	$9.60	$12.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.85 / $256.20 / $417.47	Facility		$100.85	$256.20	$417.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $1,500.00	Professional		$50.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $9.60 / $22.86	Facility		$9.60	$9.60	$22.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $1,800,000.00	Professional		$195.53	$195.53	$1,800,000.00