Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $131.83 / $134.90	Facility		$61.66	$131.83	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $269.15	Professional		$28.18	$38.02	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $57.54	Professional		$36.31	$44.67	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $104.71	Professional		$63.10	$63.10	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $89.13	Facility		$27.54	$52.48	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $58.88	Professional		$28.84	$46.77	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $56.23	Professional		$22.39	$23.44	$56.23