Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.64 / $79.64 / $79.64	Facility		$79.64	$79.64	$79.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $79.64 / $85.49	Professional		$65.48	$79.64	$85.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Facility		$94.70	$94.70	$94.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.01 / $396.01 / $396.01	Professional		$396.01	$396.01	$396.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $79.67 / $103.93	Facility		$57.72	$79.67	$103.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.01 / $396.01 / $396.01	Professional		$396.01	$396.01	$396.01
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $5,089.00 / $17,636.00	Facility		$755.00	$5,089.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $125.32 / $173.52	Professional		$91.33	$125.32	$173.52