Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $144.54	Facility		$66.07	$141.25	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $97.72	Professional		$30.20	$40.74	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $102.33	Professional		$32.36	$50.12	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $52.48 / $83.18	Facility		$28.84	$52.48	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $77.62 / $112.20	Professional		$32.36	$77.62	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.81 / $39.81	Facility		$32.36	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $26.92	Professional		$18.62	$25.70	$26.92