Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $433.80 / $433.80	Facility		$114.73	$433.80	$433.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $114.73 / $114.73	Professional		$91.83	$114.73	$114.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $426.05 / $694.24	Facility		$167.71	$426.05	$694.24
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 $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
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 $64.00 / $114.73 / $114.73	Facility		$64.00	$114.73	$114.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $2,250,000.00	Professional		$1.62	$1.62	$2,250,000.00