Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Facility		$174.10	$174.10	$174.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $174.10 / $249.99	Professional		$174.10	$174.10	$249.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.37 / $1,616.62 / $2,634.26	Facility		$636.37	$1,616.62	$2,634.26
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 $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
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 $89.88 / $174.10 / $249.99	Facility		$89.88	$174.10	$249.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $2,250,000.00	Professional		$161.72	$161.72	$2,250,000.00