Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $71.39 / $142.77	Facility		$35.69	$71.39	$142.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $57.11 / $306.00	Professional		$35.69	$57.11	$306.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $30.93 / $30.93	Facility		$30.93	$30.93	$30.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $54.52 / $89.28	Professional		$29.92	$54.52	$89.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $26.17 / $26.17	Professional		$26.17	$26.17	$26.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $57.11 / $93.09	Facility		$25.22	$57.11	$93.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $47.59 / $89.28	Professional		$47.59	$47.59	$89.28
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $28.31 / $29.18	Professional		$19.98	$28.31	$29.18