Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $57.26 / $57.26	Facility		$57.26	$57.26	$57.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $79.41 / $90.25	Professional		$57.26	$79.41	$90.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $71.06 / $97.40	Professional		$53.30	$71.06	$97.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $119.38 / $1,000.00	Professional		$60.00	$119.38	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $55.45 / $76.70	Facility		$25.68	$55.45	$76.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $2,250,000.00	Professional		$63.51	$63.51	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.64 / $258.27 / $388.60	Professional		$186.64	$258.27	$388.60