Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $112.32 / $130.69	Professional		$78.12	$112.32	$130.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $41.29 / $46.35	Professional		$30.56	$41.29	$46.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $1,500.00	Professional		$50.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $112.32 / $130.69	Facility		$78.12	$112.32	$130.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2,250,000.00	Professional		$2.00	$2.00	$2,250,000.00