Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.91 / $7.13	Professional		$4.13	$5.91	$7.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $400.00 / $440.00	Professional		$50.00	$400.00	$440.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $9.44 / $19.11	Facility		$5.91	$9.44	$19.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $2,250,000.00	Professional		$21.36	$21.36	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.63 / $9.74	Professional		$4.69	$5.63	$9.74