Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.16 / $87.16 / $180.29	Facility		$87.16	$87.16	$180.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $119.13 / $144.22	Professional		$87.16	$119.13	$144.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $130.49 / $130.49	Facility		$130.49	$130.49	$130.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $166.29 / $224.00	Professional		$99.77	$166.29	$224.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.47 / $169.80	Professional		$32.34	$75.47	$169.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $134.50 / $173.18	Facility		$75.73	$134.50	$173.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $186.18 / $2,250,000.00	Professional		$99.30	$186.18	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $137.00 / $267.14	Professional		$125.87	$137.00	$267.14