Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $12.86	Professional		$10.73	$10.73	$12.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $225.00 / $1,500.00	Professional		$70.00	$225.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $104.86	Professional		$62.92	$62.92	$104.86