Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $412.43 / $412.43	Facility		$412.43	$412.43	$412.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.86 / $412.43 / $412.43	Professional		$280.86	$412.43	$412.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $725.75 / $1,182.59	Facility		$285.68	$725.75	$1,182.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $73.18 / $73.18	Professional		$73.18	$73.18	$73.18
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 $176.65 / $412.43 / $515.54	Facility		$176.65	$412.43	$515.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $2,250,000.00 / $2,400,000.00	Professional		$73.18	$2,250,000.00	$2,400,000.00