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 $318.75 / $425.00 / $700.00	Professional		$318.75	$425.00	$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 $1,471.54 / $1,471.54 / $1,471.54	Professional		$1,471.54	$1,471.54	$1,471.54
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 $1,471.54 / $1,471.54 / $2,250,000.00	Professional		$1,471.54	$1,471.54	$2,250,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $704.90 / $824.45 / $1,561.99	Facility		$704.90	$824.45	$1,561.99