Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,091.89 / $1,558.28	Facility		$318.75	$1,091.89	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $400.04 / $700.00	Professional		$318.75	$400.04	$700.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.13 / $2,944.92 / $4,798.70	Facility		$803.13	$2,944.92	$4,798.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.38 / $877.38 / $877.38	Facility		$877.38	$877.38	$877.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $85.00	Professional		$45.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $370.50 / $877.38	Facility		$318.75	$370.50	$877.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,940.81 / $1,940.81 / $2,250,000.00	Professional		$1,940.81	$1,940.81	$2,250,000.00