Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Facility		$77.09	$77.09	$77.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $80.36 / $125.87	Facility		$65.31	$80.36	$125.87