Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.51 / $83.51 / $83.51	Facility		$83.51	$83.51	$83.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $72.97 / $83.51	Professional		$72.97	$72.97	$83.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
United Facility/Professional Facility Modifier Low / Median / High Price $185.99 / $185.99 / $185.99	Facility		$185.99	$185.99	$185.99
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $83.51	Professional		$83.51	$83.51	$83.51