Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.12 / $512.24 / $853.40	Facility		$256.12	$512.24	$853.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $317.60 / $317.60	Professional		$207.74	$317.60	$317.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.29 / $1,027.05 / $1,673.57	Facility		$404.29	$1,027.05	$1,673.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.32 / $230.32 / $230.32	Facility		$230.32	$230.32	$230.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $1,500.00	Professional		$50.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.32 / $317.60 / $317.60	Facility		$230.32	$317.60	$317.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $2,250,000.00	Professional		$116.76	$116.76	$2,250,000.00