Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $92.45 / $116.25	Professional		$91.54	$92.45	$116.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $68.56 / $111.75	Professional		$44.57	$68.56	$111.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $91.54 / $100.69	Facility		$73.63	$91.54	$100.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $91.54 / $91.54	Professional		$81.89	$91.54	$91.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54