Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $55.56 / $68.15	Facility		$55.56	$55.56	$68.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $55.56 / $97.49	Professional		$35.42	$55.56	$97.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $84.67 / $101.44	Professional		$84.67	$84.67	$101.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $54.52 / $61.53	Facility		$34.03	$54.52	$61.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $83.64 / $86.81	Professional		$58.76	$83.64	$86.81
United Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $85.68 / $115.93	Professional		$68.62	$85.68	$115.93