Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $122.42 / $122.42	Professional		$99.11	$122.42	$122.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $194.00 / $194.00	Professional		$194.00	$194.00	$194.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $122.42 / $122.42	Facility		$99.11	$122.42	$122.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $1,800,000.00	Professional		$9.85	$9.85	$1,800,000.00