Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $96.29 / $192.57	Facility		$48.14	$96.29	$192.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $77.03 / $412.74	Professional		$48.14	$77.03	$412.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $41.72 / $41.72	Facility		$41.72	$41.72	$41.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $73.51 / $91.89	Professional		$18.70	$73.51	$91.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Professional		$35.29	$35.29	$35.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $60.98 / $77.03	Facility		$32.10	$60.98	$77.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $55.74 / $64.19	Professional		$14.70	$55.74	$64.19
United Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $57.77 / $57.77	Facility		$57.77	$57.77	$57.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $17.14 / $38.51	Professional		$17.14	$17.14	$38.51