Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.69 / $103.38 / $206.76	Facility		$51.69	$103.38	$206.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $82.70 / $443.16	Professional		$51.69	$82.70	$443.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $79.30 / $99.12	Professional		$79.30	$79.30	$99.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Professional		$37.90	$37.90	$37.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $65.47 / $82.70	Facility		$36.53	$65.47	$82.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $68.92 / $68.92	Professional		$66.44	$68.92	$68.92
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $34.03 / $41.35	Professional		$28.95	$34.03	$41.35