Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.84 / $96.63	Professional		$76.09	$76.84	$96.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $86.35 / $140.75	Professional		$70.00	$86.35	$140.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $96.28	Facility		$76.09	$76.09	$96.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $115.55	Professional		$76.09	$76.09	$115.55
United Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $86.35 / $86.35	Facility		$86.35	$86.35	$86.35
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09