Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $87.00 / $174.00	Facility		$43.50	$87.00	$174.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $43.50 / $372.94	Professional		$23.42	$43.50	$372.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $37.70	Facility		$37.70	$37.70	$37.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $36.04 / $52.09	Professional		$27.20	$36.04	$52.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $94.54 / $94.54	Professional		$89.90	$94.54	$94.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $32.20 / $42.44	Facility		$28.02	$32.20	$42.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $65.95 / $80.62	Professional		$29.09	$65.95	$80.62
United Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Facility		$58.00	$58.00	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $12.29 / $34.79	Professional		$11.58	$12.29	$34.79