Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $92.28 / $184.56	Facility		$46.14	$92.28	$184.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $73.81 / $395.57	Professional		$46.14	$73.81	$395.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.99 / $39.99 / $39.99	Facility		$39.99	$39.99	$39.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $55.19 / $69.63	Professional		$55.19	$55.19	$69.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $100.28 / $100.28	Professional		$95.36	$100.28	$100.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.99 / $73.00 / $77.52	Facility		$39.99	$73.00	$77.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $77.02 / $85.51	Professional		$70.75	$77.02	$85.51
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $25.84 / $36.90	Professional		$25.84	$25.84	$36.90