Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Facility		$17.10	$17.10	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $77.67	Professional		$17.10	$17.10	$77.67
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 $203.99 / $203.99 / $203.99	Professional		$203.99	$203.99	$203.99
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 $17.10 / $17.10 / $77.67	Facility		$17.10	$17.10	$77.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $2,250,000.00 / $2,400,000.00	Professional		$203.99	$2,250,000.00	$2,400,000.00