Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $54.13 / $65.53	Professional		$48.05	$54.13	$65.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $72.36 / $72.36	Facility		$72.36	$72.36	$72.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $89.72 / $121.64	Professional		$60.33	$89.72	$121.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.99 / $60.39 / $125.21	Facility		$50.99	$60.39	$125.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $100.01 / $161.32	Professional		$66.66	$100.01	$161.32
United Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $99.32 / $137.16	Professional		$68.76	$99.32	$137.16