Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $171.15	Facility		$171.15	$171.15	$171.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $289.19	Professional		$171.15	$171.15	$289.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $204.84 / $204.84	Professional		$204.84	$204.84	$204.84
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 $169.40 / $171.15 / $289.19	Facility		$169.40	$171.15	$289.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $2,250,000.00 / $2,400,000.00	Professional		$204.84	$2,250,000.00	$2,400,000.00