Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.89 / $114.89 / $114.89	Facility		$114.89	$114.89	$114.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $100.38 / $114.89	Professional		$96.75	$100.38	$114.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $102.80 / $120.94	Facility		$96.75	$102.80	$120.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $151.18	Professional		$102.80	$102.80	$151.18
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $100.78	Professional		$100.78	$100.78	$100.78