Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Professional		$58.28	$58.28	$109.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.74 / $827.51 / $1,348.41	Facility		$325.74	$827.51	$1,348.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $114.90	Professional		$114.90	$114.90	$114.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $153.23	Professional		$60.00	$60.00	$153.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Facility		$58.28	$58.28	$109.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $2,250,000.00 / $2,400,000.00	Professional		$114.90	$2,250,000.00	$2,400,000.00