Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $166.10	Facility		$132.88	$132.88	$166.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $245.00	Professional		$132.88	$132.88	$245.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $32.99 / $32.99	Facility		$32.99	$32.99	$32.99
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 / $132.88 / $132.88	Facility		$32.99	$132.88	$132.88