Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $239.88	Professional		$100.00	$123.03	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $141.25	Professional		$64.57	$75.86	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $204.17	Facility		$102.33	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44