Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $81.28	Professional		$52.48	$63.10	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $134.90	Facility		$104.71	$104.71	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $114.82	Professional		$61.66	$85.11	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.26 / $70.79	Professional		$33.11	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $77.62 / $120.23	Facility		$53.70	$77.62	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $114.82	Professional		$61.66	$85.11	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $117.49	Professional		$61.66	$85.11	$117.49