Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $537.03	Professional		$141.25	$141.25	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $70.79 / $165.96	Professional		$33.11	$70.79	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $114.82	Facility		$39.81	$39.81	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25