Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,558.28 / $1,558.28	Facility		$318.75	$1,558.28	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $425.00 / $700.00	Professional		$318.75	$425.00	$700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.38 / $877.38 / $877.38	Facility		$877.38	$877.38	$877.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $525.00	Professional		$450.00	$450.00	$525.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $85.00	Professional		$45.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $370.50 / $877.38	Facility		$318.75	$370.50	$877.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $2,250,000.00 / $2,400,000.00	Professional		$525.00	$2,250,000.00	$2,400,000.00