Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $96.72 / $96.72	Facility		$96.72	$96.72	$96.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $96.72 / $96.72	Professional		$96.72	$96.72	$96.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $85.00 / $1,500.00	Professional		$81.95	$85.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65