Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $65.98 / $131.97	Facility		$32.99	$65.98	$131.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $52.79 / $282.86	Professional		$32.99	$52.79	$282.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $28.59 / $28.59	Facility		$28.59	$28.59	$28.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $50.39 / $102.60	Professional		$32.72	$50.39	$102.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $24.19 / $24.19	Professional		$24.19	$24.19	$24.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $52.79 / $91.40	Facility		$23.32	$52.79	$91.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $43.99 / $102.60	Professional		$43.99	$43.99	$102.60
United Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $32.42 / $32.42	Facility		$29.47	$32.42	$32.42
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.17 / $26.98	Professional		$18.48	$26.17	$26.98