Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $100.05 / $200.10	Facility		$50.03	$100.05	$200.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $80.04 / $428.88	Professional		$50.03	$80.04	$428.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $43.36 / $43.36	Facility		$43.36	$43.36	$43.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $76.41 / $139.10	Professional		$44.41	$76.41	$139.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $80.04 / $130.41	Facility		$56.26	$80.04	$130.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $66.70 / $139.10	Professional		$66.70	$66.70	$139.10
United Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Facility		$66.70	$66.70	$66.70
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $39.68 / $40.89	Professional		$28.01	$39.68	$40.89