Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $120.55 / $241.11	Facility		$60.28	$120.55	$241.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $96.44 / $516.78	Professional		$60.28	$96.44	$516.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $52.24 / $52.24	Facility		$52.24	$52.24	$52.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $92.10 / $155.38	Professional		$49.55	$92.10	$155.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $44.20	Professional		$44.20	$44.20	$44.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $96.44 / $157.12	Facility		$43.47	$96.44	$157.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $80.37 / $155.38	Professional		$80.37	$80.37	$155.38
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $48.22 / $49.27	Professional		$33.76	$48.22	$49.27