Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.53 / $67.31	Professional		$53.00	$53.53	$67.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $161.55 / $161.55	Professional		$99.11	$161.55	$161.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $67.31	Facility		$53.00	$53.00	$67.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $105.45	Professional		$53.00	$53.00	$105.45
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00