Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $96.07 / $96.07	Facility		$96.07	$96.07	$96.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $83.94 / $96.07	Professional		$80.90	$83.94	$96.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $98.14 / $1,500.00	Professional		$98.14	$98.14	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $92.09 / $101.13	Facility		$80.90	$92.09	$101.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $126.40	Professional		$85.96	$85.96	$126.40
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $136.47	Professional		$136.47	$136.47	$136.47