Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $51.81 / $106.29	Facility		$51.81	$51.81	$106.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $85.03 / $85.03	Professional		$51.81	$85.03	$85.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.59 / $115.59 / $115.59	Facility		$115.59	$115.59	$115.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $100.80 / $136.26	Professional		$82.80	$100.80	$136.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.34 / $1,500.00	Professional		$20.89	$32.34	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $98.92 / $115.59	Facility		$31.99	$98.92	$115.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $111.59 / $136.26	Professional		$80.04	$111.59	$136.26
United Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $105.90 / $180.14	Professional		$95.52	$105.90	$180.14