Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $100.00	Facility		$80.00	$80.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
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 $94.96 / $94.96 / $99.01	Facility		$94.96	$94.96	$99.01