Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $83.31 / $166.62	Facility		$41.66	$83.31	$166.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $66.65 / $357.12	Professional		$41.66	$66.65	$357.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $36.10 / $36.10	Facility		$36.10	$36.10	$36.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $64.02 / $80.02	Professional		$64.02	$64.02	$80.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Professional		$30.55	$30.55	$30.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $52.76 / $66.65	Facility		$27.77	$52.76	$66.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $55.54 / $55.54	Professional		$45.54	$55.54	$55.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $23.33 / $33.32	Professional		$23.33	$23.33	$33.32