Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $251.19 / $257.04	Facility		$117.49	$251.19	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $204.17	Professional		$53.70	$72.44	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $173.78	Professional		$54.95	$89.13	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $85.11 / $141.25	Facility		$51.29	$85.11	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $128.82 / $199.53	Professional		$54.95	$128.82	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $70.79 / $70.79	Facility		$57.54	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $47.86	Professional		$33.11	$46.77	$47.86