Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $44.96 / $55.19	Facility		$44.96	$44.96	$55.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $44.96 / $48.53	Professional		$44.15	$44.96	$48.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.29 / $219.29 / $219.29	Facility		$219.29	$219.29	$219.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $37.43 / $219.29	Facility		$33.72	$37.43	$219.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $121.50 / $121.50	Professional		$121.50	$121.50	$121.50
United Facility/Professional Facility Modifier Low / Median / High Price $525.30 / $525.30 / $525.30	Facility		$525.30	$525.30	$525.30
United Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $22.41 / $63.99	Professional		$20.13	$22.41	$63.99