Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $125.00	Facility		$90.00	$90.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $125.00	Professional		$90.00	$90.00	$125.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.00 / $120.00	Professional		$32.34	$60.00	$120.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $125.00	Facility		$60.00	$60.00	$125.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $90.00 / $125.00	Professional		$60.00	$90.00	$125.00