Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,558.28 / $1,558.28	Facility		$425.00	$1,558.28	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $700.00 / $1,924.85	Professional		$425.00	$700.00	$1,924.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.38 / $877.38 / $877.38	Facility		$877.38	$877.38	$877.38
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 $370.50 / $425.00 / $1,924.85	Facility		$370.50	$425.00	$1,924.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $824.45 / $824.45 / $824.45	Facility		$824.45	$824.45	$824.45