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 $55.66 / $73.45 / $107.90	Professional		$55.66	$73.45	$107.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $65.23 / $106.62	Facility		$65.23	$65.23	$106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $88.29 / $117.09	Professional		$40.46	$88.29	$117.09
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 $65.23 / $92.78 / $152.25	Facility		$65.23	$92.78	$152.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $89.92 / $137.05	Professional		$46.11	$89.92	$137.05
United Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $29.43 / $57.32	Facility		$27.46	$29.43	$57.32
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $34.54 / $43.35	Professional		$28.79	$34.54	$43.35