Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $80.65 / $80.65	Facility		$80.65	$80.65	$80.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $80.65 / $145.00	Professional		$79.20	$80.65	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Professional		$172.00	$172.00	$172.00
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 $67.14 / $79.89 / $145.00	Facility		$67.14	$79.89	$145.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.00 / $393.00 / $393.00	Professional		$393.00	$393.00	$393.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $92.47 / $192.77	Professional		$87.41	$92.47	$192.77