Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $97.33 / $194.64	Facility		$48.66	$97.33	$194.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $77.86 / $417.18	Professional		$48.66	$77.86	$417.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $42.17 / $42.17	Facility		$42.17	$42.17	$42.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $74.75 / $121.84	Professional		$40.83	$74.75	$121.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $35.68 / $35.68	Professional		$35.68	$35.68	$35.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $77.86 / $126.90	Facility		$57.78	$77.86	$126.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $64.88 / $121.84	Professional		$64.88	$64.88	$121.84
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.59 / $39.78	Professional		$27.25	$38.59	$39.78