Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.95 / $99.95 / $99.95	Facility		$99.95	$99.95	$99.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $100.86 / $117.40	Professional		$60.93	$100.86	$117.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $83.40 / $83.40	Professional		$83.40	$83.40	$83.40
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 $26.40 / $101.86 / $126.34	Facility		$26.40	$101.86	$126.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $139.52 / $184.80	Professional		$83.40	$139.52	$184.80
United Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $154.01 / $243.32	Professional		$107.81	$154.01	$243.32