Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $56.18 / $65.94	Facility		$56.18	$56.18	$65.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $73.84 / $96.14	Professional		$56.18	$73.84	$96.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $95.62 / $131.71	Professional		$69.70	$95.62	$131.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $95.00 / $123.38	Professional		$67.30	$95.00	$123.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.86 / $75.29 / $92.00	Facility		$61.86	$75.29	$92.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $96.00 / $131.71	Professional		$69.70	$96.00	$131.71
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $120.00 / $168.19	Professional		$86.25	$120.00	$168.19