Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.52 / $84.52 / $158.60	Facility		$84.52	$84.52	$158.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $86.40 / $126.88	Professional		$65.48	$86.40	$126.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $76.70 / $125.64	Facility		$76.70	$76.70	$125.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $103.61 / $137.40	Professional		$47.58	$103.61	$137.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $93.74 / $128.29	Facility		$72.65	$93.74	$128.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $105.73 / $152.79	Professional		$54.24	$105.73	$152.79
United Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $34.54 / $51.08	Professional		$31.66	$34.54	$51.08