Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Facility		$14.66	$14.66	$14.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.66 / $23.62	Professional		$12.38	$14.66	$23.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $17.63 / $18.00	Professional		$14.50	$17.63	$18.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $25.24	Professional		$8.38	$8.38	$25.24
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 $10.78 / $14.66 / $29.56	Facility		$10.78	$14.66	$29.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $2,250,000.00	Professional		$8.38	$8.38	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $26.25	Professional		$15.00	$15.00	$26.25