Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.69 / $62.69 / $62.69	Facility		$62.69	$62.69	$62.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $62.69 / $62.69	Professional		$62.69	$62.69	$62.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $81.20 / $81.20	Facility		$81.20	$81.20	$81.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.20 / $226.20 / $226.20	Professional		$226.20	$226.20	$226.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $186.99 / $245.44	Facility		$81.20	$186.99	$245.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Professional		$218.57	$218.57	$218.57
United Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $236.37 / $384.50	Professional		$119.55	$236.37	$384.50