Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $70.28 / $80.45	Professional		$70.28	$70.28	$80.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Facility		$60.25	$60.25	$60.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $47.67 / $47.67	Professional		$47.67	$47.67	$47.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $44.05 / $60.25	Facility		$37.20	$44.05	$60.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $70.56	Professional		$70.56	$70.56	$70.56