Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $146.74	Facility		$146.74	$146.74	$146.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $146.74 / $508.74	Professional		$146.74	$146.74	$508.74
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 $259.57 / $259.57 / $259.57	Professional		$259.57	$259.57	$259.57
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 $146.74 / $146.74 / $508.74	Facility		$146.74	$146.74	$508.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.57 / $2,250,000.00 / $2,400,000.00	Professional		$259.57	$2,250,000.00	$2,400,000.00