Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.87 / $65.87 / $131.53	Facility		$65.87	$65.87	$131.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $105.22 / $105.22	Professional		$65.87	$105.22	$105.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $68.31 / $68.31	Facility		$68.31	$68.31	$68.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $85.34 / $126.71	Professional		$63.51	$85.34	$126.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $32.34 / $97.80	Professional		$19.02	$32.34	$97.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $67.27 / $89.44	Facility		$46.78	$67.27	$89.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $114.32 / $196.30	Professional		$69.13	$114.32	$196.30
United Facility/Professional Facility Modifier Low / Median / High Price $393.89 / $393.89 / $393.89	Facility		$393.89	$393.89	$393.89
United Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $83.37 / $166.69	Professional		$61.95	$83.37	$166.69