Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $98.84 / $98.84	Facility		$98.84	$98.84	$98.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $86.35 / $98.84	Professional		$86.35	$86.35	$98.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.21 / $99.21 / $99.21	Professional		$99.21	$99.21	$99.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $90.16 / $98.93	Facility		$82.45	$90.16	$98.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $86.70	Professional		$86.70	$86.70	$86.70