Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Facility		$65.41	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $66.06 / $83.06	Professional		$65.41	$66.06	$83.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Facility		$65.40	$65.40	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Professional		$65.40	$65.40	$65.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $106.62	Professional		$65.41	$65.41	$106.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $65.40 / $71.95	Facility		$34.81	$65.40	$71.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $81.76	Professional		$65.40	$65.40	$81.76
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Professional		$65.41	$65.41	$65.41