Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $299.83 / $374.80	Facility		$299.83	$299.83	$374.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $332.17 / $365.38	Professional		$299.83	$332.17	$365.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $32.99 / $32.99	Facility		$32.99	$32.99	$32.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $136.81	Professional		$109.45	$109.45	$136.81
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 $32.99 / $299.83 / $299.83	Facility		$32.99	$299.83	$299.83