Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.48 / $122.48 / $266.00	Facility		$122.48	$122.48	$266.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $133.03 / $212.80	Professional		$121.63	$133.03	$212.80
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 $303.29 / $363.38 / $477.70	Professional		$303.29	$363.38	$477.70
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 $85.37 / $130.76 / $217.91	Facility		$85.37	$130.76	$217.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.70 / $2,250,000.00 / $2,400,000.00	Professional		$477.70	$2,250,000.00	$2,400,000.00