Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $111.72 / $111.72	Facility		$66.64	$111.72	$111.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $72.38 / $100.32	Professional		$66.64	$72.38	$100.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $53.58 / $53.58	Professional		$53.58	$53.58	$53.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $65.95 / $66.64	Facility		$51.73	$65.95	$66.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64