Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $61.05 / $122.10	Facility		$30.53	$61.05	$122.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $48.84 / $261.70	Professional		$30.53	$48.84	$261.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $26.46	Facility		$26.46	$26.46	$26.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $46.29 / $66.31	Professional		$36.59	$46.29	$66.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $66.34 / $66.34	Professional		$63.09	$66.34	$66.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $41.15 / $52.37	Facility		$26.46	$41.15	$52.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $49.25 / $58.61	Professional		$38.82	$49.25	$58.61
United Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $23.45 / $61.05	Professional		$22.34	$23.45	$61.05