Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Facility		$65.88	$65.88	$65.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $66.54 / $83.67	Professional		$65.88	$66.54	$83.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Facility		$65.88	$65.88	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $69.29 / $105.54	Professional		$48.50	$69.29	$105.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $83.67	Facility		$65.88	$65.88	$83.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $82.75	Professional		$65.88	$65.88	$82.75
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88