Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $217.46 / $271.83	Facility		$217.46	$217.46	$271.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $103.97 / $217.46	Professional		$94.51	$103.97	$217.46
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 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.01 / $217.46 / $217.46	Facility		$99.01	$217.46	$217.46