Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $90.00 / $180.00	Facility		$45.00	$90.00	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $72.00 / $385.80	Professional		$45.00	$72.00	$385.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $39.00 / $39.00	Facility		$39.00	$39.00	$39.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $31.57 / $86.21	Professional		$10.60	$31.57	$86.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $32.77 / $66.00	Facility		$14.92	$32.77	$66.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $43.18 / $60.00	Professional		$17.79	$43.18	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $10.27 / $36.00	Professional		$9.67	$10.27	$36.00