Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $84.44 / $84.44	Facility		$84.44	$84.44	$84.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $73.77 / $84.44	Professional		$73.77	$73.77	$84.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $65.94 / $65.94	Professional		$65.94	$65.94	$65.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $75.55 / $96.85	Facility		$74.66	$75.55	$96.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $88.88	Professional		$88.88	$88.88	$88.88