Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $127.58	Facility		$63.43	$63.43	$127.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $102.06 / $484.05	Professional		$63.43	$102.06	$484.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $50.01 / $50.01	Facility		$50.01	$50.01	$50.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $96.20 / $138.94	Professional		$70.55	$96.20	$138.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.93 / $96.39	Professional		$32.34	$37.93	$96.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.37 / $93.92 / $149.76	Facility		$65.37	$93.92	$149.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $119.40 / $194.01	Professional		$72.90	$119.40	$194.01
United Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $84.81 / $166.85	Professional		$67.81	$84.81	$166.85