Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $54.84 / $109.68	Facility		$27.42	$54.84	$109.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $43.87 / $235.08	Professional		$27.42	$43.87	$235.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $23.76 / $23.76	Facility		$23.76	$23.76	$23.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $52.66 / $106.06	Professional		$35.53	$52.66	$106.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $20.11 / $20.11	Professional		$20.11	$20.11	$20.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $50.29 / $110.43	Facility		$34.72	$50.29	$110.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $36.56 / $106.06	Professional		$36.56	$36.56	$106.06
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $33.13 / $34.61	Professional		$15.36	$33.13	$34.61