Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $78.63 / $303.00	Professional		$78.63	$78.63	$303.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Facility		$80.53	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $80.53 / $83.69	Professional		$80.53	$80.53	$83.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $88.71 / $133.06	Professional		$60.00	$88.71	$133.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $80.53 / $83.69	Facility		$80.53	$80.53	$83.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $80.53 / $83.69	Professional		$80.53	$80.53	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Professional		$94.74	$94.74	$94.74