Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $69.90 / $139.80	Facility		$34.95	$69.90	$139.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $55.92 / $299.64	Professional		$34.95	$55.92	$299.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $41.86 / $54.07	Professional		$41.86	$41.86	$54.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $72.23 / $75.95	Professional		$70.00	$72.23	$75.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $66.59 / $93.94	Facility		$30.29	$66.59	$93.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $58.95 / $67.09	Professional		$53.59	$58.95	$67.09
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $22.20 / $27.96	Professional		$19.57	$22.20	$27.96