Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.96 / $540.96 / $540.96	Facility		$540.96	$540.96	$540.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.04 / $540.96 / $540.96	Professional		$356.04	$540.96	$540.96
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 $920.40 / $920.40 / $920.40	Professional		$920.40	$920.40	$920.40
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 $542.08 / $542.08 / $677.60	Facility		$542.08	$542.08	$677.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.40 / $2,250,000.00 / $2,400,000.00	Professional		$920.40	$2,250,000.00	$2,400,000.00