Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $89.13	Professional		$51.29	$69.18	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $125.89 / $257.04	Facility		$58.88	$125.89	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $125.89	Professional		$91.20	$91.20	$125.89