Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $69.09 / $138.21	Facility		$34.54	$69.09	$138.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $55.28 / $296.23	Professional		$34.54	$55.28	$296.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $29.95 / $29.95	Facility		$29.95	$29.95	$29.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $52.86 / $90.76	Professional		$28.98	$52.86	$90.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $25.34 / $25.34	Professional		$25.34	$25.34	$25.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $55.28 / $90.13	Facility		$28.63	$55.28	$90.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $46.07 / $90.76	Professional		$46.07	$46.07	$90.76
United Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $56.48 / $78.30	Facility		$38.63	$56.48	$78.30
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.41 / $28.25	Professional		$19.35	$27.41	$28.25