Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $117.49 / $120.23	Facility		$54.95	$117.49	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $204.17	Professional		$25.12	$33.88	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $107.15	Professional		$35.48	$52.48	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $97.72	Facility		$34.67	$50.12	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $87.10 / $141.25	Professional		$33.11	$87.10	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $41.69	Facility		$33.11	$33.11	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $34.67	Professional		$15.49	$33.11	$34.67