Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $72.27 / $90.87	Professional		$71.55	$72.27	$90.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $43.24 / $116.63	Professional		$37.60	$43.24	$116.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $71.55 / $90.87	Facility		$47.22	$71.55	$90.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $83.15	Professional		$71.55	$71.55	$83.15
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55