Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $68.78 / $68.78	Facility		$68.78	$68.78	$68.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $60.09 / $72.40	Professional		$57.92	$60.09	$72.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $85.00	Facility		$61.54	$61.54	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $66.71 / $1,500.00	Professional		$64.77	$66.71	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $61.54 / $80.75	Facility		$45.40	$61.54	$80.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $75.43	Professional		$61.54	$61.54	$75.43
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $60.34 / $63.96	Professional		$60.34	$60.34	$63.96