Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Facility		$97.00	$97.00	$97.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $97.00 / $97.00	Professional		$88.00	$97.00	$97.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $94.60 / $94.60	Facility		$94.60	$94.60	$94.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $94.60 / $94.60	Professional		$69.06	$94.60	$94.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $70.00	Professional		$50.00	$60.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $97.00 / $97.00	Facility		$88.00	$97.00	$97.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $94.60 / $94.60	Professional		$69.06	$94.60	$94.60