Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $85.03	Facility		$85.03	$85.03	$85.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $166.47	Professional		$85.03	$85.03	$166.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $366.37 / $596.99	Facility		$144.22	$366.37	$596.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $75.23	Professional		$75.23	$75.23	$75.23
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 $157.94 / $157.94 / $197.44	Facility		$157.94	$157.94	$197.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $2,250,000.00 / $2,400,000.00	Professional		$75.23	$2,250,000.00	$2,400,000.00