Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,558.28 / $1,558.28	Facility		$318.75	$1,558.28	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.16 / $318.75 / $700.00	Professional		$280.16	$318.75	$700.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.29 / $1,922.48 / $3,132.66	Facility		$524.29	$1,922.48	$3,132.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.23 / $548.23 / $548.23	Facility		$548.23	$548.23	$548.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.35 / $344.35 / $344.35	Professional		$344.35	$344.35	$344.35
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 $280.16 / $318.75 / $595.00	Facility		$280.16	$318.75	$595.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.35 / $344.35 / $2,250,000.00	Professional		$344.35	$344.35	$2,250,000.00