Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $95.50	Professional		$79.43	$83.18	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $85.11	Professional		$44.67	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $257.04	Facility		$83.18	$100.00	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $138.04	Professional		$125.89	$125.89	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $162.18	Professional		$125.89	$162.18	$162.18