Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $109.01	Facility		$99.82	$99.82	$109.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $86.16 / $99.82	Professional		$84.06	$86.16	$99.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $89.31 / $111.45	Facility		$89.31	$89.31	$111.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $1,500.00	Professional		$70.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $99.82 / $107.30	Facility		$84.06	$99.82	$107.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $109.45	Professional		$89.31	$89.31	$109.45
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $87.56 / $92.81	Professional		$87.56	$87.56	$92.81