Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $242.71 / $242.71	Facility		$242.71	$242.71	$242.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $291.25	Professional		$242.71	$242.71	$291.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $263.39 / $263.39	Facility		$263.39	$263.39	$263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
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 $242.71 / $242.71 / $292.31	Facility		$242.71	$242.71	$292.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $2,250,000.00	Professional		$116.04	$116.04	$2,250,000.00