Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $195.18 / $243.98	Facility		$195.18	$195.18	$243.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $110.00 / $195.18	Professional		$68.81	$110.00	$195.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.01 / $99.01 / $99.01	Facility		$99.01	$99.01	$99.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $118.94 / $148.68	Professional		$118.94	$118.94	$148.68
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 $99.01 / $195.18 / $195.18	Facility		$99.01	$195.18	$195.18