Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $98.20 / $202.45	Facility		$98.20	$98.20	$202.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $136.63 / $161.96	Professional		$98.20	$136.63	$161.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $148.80	Facility		$148.80	$148.80	$148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $185.40 / $259.86	Professional		$112.45	$185.40	$259.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.99 / $192.51	Professional		$32.34	$36.99	$192.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $150.93 / $196.69	Facility		$47.60	$150.93	$196.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $210.84 / $2,250,000.00	Professional		$104.33	$210.84	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $154.11 / $300.51	Professional		$137.41	$154.11	$300.51