Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.28 / $1,558.28 / $1,558.28	Facility		$1,558.28	$1,558.28	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,560.41 / $1,560.41 / $1,560.41	Professional		$1,560.41	$1,560.41	$1,560.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.24 / $1,151.24 / $1,151.24	Facility		$1,151.24	$1,151.24	$1,151.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $70.00	Professional		$45.00	$60.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.24 / $1,151.24 / $1,560.41	Facility		$1,151.24	$1,151.24	$1,560.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $2,250,000.00 / $2,250,000.00	Professional		$450.00	$2,250,000.00	$2,250,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,182.67 / $1,182.67 / $1,182.67	Facility		$1,182.67	$1,182.67	$1,182.67