Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $96.61 / $193.23	Facility		$48.31	$96.61	$193.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $77.29 / $77.29	Professional		$48.31	$77.29	$77.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $41.87 / $41.87	Facility		$41.87	$41.87	$41.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $73.93 / $92.41	Professional		$73.93	$73.93	$92.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $61.19 / $77.29	Facility		$41.87	$61.19	$77.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $64.41 / $64.41	Professional		$52.82	$64.41	$64.41
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $38.65	Professional		$27.05	$27.05	$38.65