Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $308.72	Facility		$308.72	$308.72	$308.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $333.97	Professional		$308.72	$308.72	$333.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.67 / $2,580.19 / $4,204.39	Facility		$1,015.67	$2,580.19	$4,204.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.52 / $515.52 / $515.52	Facility		$515.52	$515.52	$515.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.84 / $604.84 / $604.84	Professional		$604.84	$604.84	$604.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $477.79	Professional		$60.00	$60.00	$477.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.42 / $455.42 / $569.28	Facility		$455.42	$455.42	$569.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $604.84 / $2,250,000.00 / $2,400,000.00	Professional		$604.84	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.40 / $440.40 / $440.40	Professional		$440.40	$440.40	$440.40