Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Facility		$36.11	$36.11	$36.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $72.34	Professional		$36.11	$36.11	$72.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $418.13 / $681.33	Facility		$164.59	$418.13	$681.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.11 / $190.11 / $190.11	Facility		$190.11	$190.11	$190.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
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 $64.95 / $64.95 / $81.19	Facility		$64.95	$64.95	$81.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $2,250,000.00	Professional		$21.70	$21.70	$2,250,000.00