Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $2,010.49	Professional		$1,448.30	$1,448.30	$2,010.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,162.21 / $7,577.99	Facility		$1,450.00	$6,162.21	$7,577.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $1,450.00	Professional		$1,450.00	$1,450.00	$1,450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $198.37 / $198.37	Professional		$198.37	$198.37	$198.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,450.00 / $1,500.00	Professional		$32.34	$1,450.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $2,536.90	Facility		$1,448.30	$1,448.30	$2,536.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $198.37 / $2,250,000.00	Professional		$198.37	$198.37	$2,250,000.00