Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $86.35 / $183.83	Facility		$86.35	$86.35	$183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $98.07 / $147.06	Professional		$80.29	$98.07	$147.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,500.00	Professional		$50.00	$70.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.94 / $102.61 / $209.48	Facility		$70.94	$102.61	$209.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $2,250,000.00	Professional		$78.08	$78.08	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $141.99 / $201.63	Professional		$99.44	$141.99	$201.63