Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.88 / $71.88 / $134.88	Facility		$71.88	$71.88	$134.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $107.90 / $107.90	Professional		$71.88	$107.90	$107.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $65.23 / $65.23	Facility		$65.23	$65.23	$65.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $84.25 / $105.32	Professional		$31.48	$84.25	$105.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $61.85 / $107.90	Facility		$45.17	$61.85	$107.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $58.97 / $109.76	Professional		$31.48	$58.97	$109.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $28.87 / $61.93	Professional		$25.30	$28.87	$61.93