Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $122.00	Professional		$122.00	$122.00	$122.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $27.36	Professional		$21.89	$21.89	$27.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $15.26	Facility		$15.26	$15.26	$15.26