Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $147.91 / $151.36	Facility		$69.18	$147.91	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $102.33	Professional		$32.36	$42.66	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $91.20	Professional		$28.84	$52.48	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $54.95 / $85.11	Facility		$30.20	$54.95	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $67.61 / $107.15	Professional		$28.84	$67.61	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $41.69 / $41.69	Facility		$33.88	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $27.54 / $28.18	Professional		$19.50	$27.54	$28.18