Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $246.23 / $307.79	Facility		$246.23	$246.23	$307.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.42 / $246.23	Professional		$112.20	$123.42	$246.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.01 / $99.01 / $99.01	Facility		$99.01	$99.01	$99.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $246.23 / $246.23	Facility		$93.09	$246.23	$246.23