Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Facility		$171.96	$171.96	$171.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $171.96 / $332.76	Professional		$171.96	$171.96	$332.76
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 $354.90 / $354.90 / $354.90	Professional		$354.90	$354.90	$354.90
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 $171.96 / $171.96 / $332.76	Facility		$171.96	$171.96	$332.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.90 / $2,250,000.00 / $2,400,000.00	Professional		$354.90	$2,250,000.00	$2,400,000.00