Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $92.08	Facility		$45.81	$45.81	$92.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $73.66 / $73.66	Professional		$45.81	$73.66	$73.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.33 / $41.33 / $41.33	Facility		$41.33	$41.33	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $62.67 / $102.33	Professional		$48.10	$62.67	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $32.34 / $69.43	Professional		$20.17	$32.34	$69.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.09 / $60.58 / $96.56	Facility		$47.09	$60.58	$96.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $86.01 / $132.90	Professional		$50.85	$86.01	$132.90
United Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $57.38 / $111.89	Professional		$46.53	$57.38	$111.89