Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $4.93 / $4.93	Professional		$4.93	$4.93	$4.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.00 / $1,500.00	Professional		$32.34	$70.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $1,800,000.00 / $2,400,000.00	Professional		$4.93	$1,800,000.00	$2,400,000.00