Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $97.39 / $97.39	Facility		$63.68	$97.39	$97.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $80.88 / $140.59	Professional		$63.68	$80.88	$140.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Facility		$63.68	$63.68	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.05 / $37.05 / $37.05	Professional		$37.05	$37.05	$37.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $63.68 / $63.68	Facility		$36.94	$63.68	$63.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68