Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.76 / $68.76 / $68.76	Facility		$68.76	$68.76	$68.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $59.35 / $68.76	Professional		$57.90	$59.35	$68.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $85.00	Facility		$61.52	$61.52	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Professional		$61.52	$61.52	$61.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $112.68 / $1,500.00	Professional		$107.32	$112.68	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $64.31 / $101.24	Facility		$53.27	$64.31	$101.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $73.90	Professional		$61.52	$61.52	$73.90
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $60.32	Professional		$60.32	$60.32	$60.32