Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $102.83 / $205.65	Facility		$51.41	$102.83	$205.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $82.26 / $440.78	Professional		$51.41	$82.26	$440.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $44.56 / $44.56	Facility		$44.56	$44.56	$44.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $61.39 / $77.83	Professional		$61.39	$61.39	$77.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $111.74 / $111.74	Professional		$106.25	$111.74	$111.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $51.12 / $86.37	Facility		$44.56	$51.12	$86.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $82.95 / $95.28	Professional		$62.83	$82.95	$95.28
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $41.13	Professional		$25.01	$25.01	$41.13