Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $95.50	Professional		$53.70	$79.43	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $85.11 / $158.49	Facility		$57.54	$85.11	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,011.87 / $19,498.45	Facility		$758.58	$5,011.87	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $169.82	Professional		$85.11	$120.23	$169.82