Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $68.06 / $147.88	Facility		$68.06	$68.06	$147.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $78.50 / $121.81	Professional		$68.06	$78.50	$121.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $106.49 / $139.72	Professional		$70.84	$106.49	$139.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.47	Professional		$32.34	$32.34	$100.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.65 / $99.34 / $142.46	Facility		$61.65	$99.34	$142.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $117.90 / $202.16	Professional		$78.06	$117.90	$202.16
United Facility/Professional Professional Modifier Low / Median / High Price $79.03 / $113.93 / $160.96	Professional		$79.03	$113.93	$160.96