Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $53.12 / $105.51	Facility		$53.12	$53.12	$105.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $84.41 / $451.08	Professional		$53.12	$84.41	$451.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.07 / $149.07 / $149.07	Facility		$149.07	$149.07	$149.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $99.58 / $137.72	Professional		$81.80	$99.58	$137.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $32.34 / $95.66	Professional		$7.30	$32.34	$95.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $90.72 / $141.75	Facility		$68.75	$90.72	$141.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $110.25 / $137.72	Professional		$74.80	$110.25	$137.72
United Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $64.73 / $152.69	Professional		$63.54	$64.73	$152.69