Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $136.74 / $273.48	Facility		$68.37	$136.74	$273.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $109.39 / $586.16	Professional		$68.37	$109.39	$586.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $59.25 / $59.25	Facility		$59.25	$59.25	$59.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $104.90 / $176.59	Professional		$56.25	$104.90	$176.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $109.39 / $178.30	Facility		$69.34	$109.39	$178.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $91.16 / $176.59	Professional		$91.16	$91.16	$176.59
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $54.23 / $55.90	Professional		$38.29	$54.23	$55.90