Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.74 / $89.74 / $178.50	Facility		$89.74	$89.74	$178.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $128.35 / $142.80	Professional		$89.74	$128.35	$142.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $128.35 / $171.37	Professional		$80.65	$128.35	$171.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.90	Professional		$32.34	$32.34	$154.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.90 / $121.38 / $149.52	Facility		$98.90	$121.38	$149.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $156.25 / $2,250,000.00	Professional		$85.09	$156.25	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $168.54 / $406.96	Professional		$99.90	$168.54	$406.96