Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.45 / $110.45 / $110.45	Facility		$110.45	$110.45	$110.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $110.45	Professional		$108.39	$108.39	$110.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $68.93 / $86.68	Professional		$68.93	$68.93	$86.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $101.03	Professional		$50.00	$85.00	$101.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $72.77 / $72.77	Facility		$72.77	$72.77	$72.77
United Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $75.90 / $353.23	Professional		$59.34	$75.90	$353.23