Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.70 / $50.70 / $50.70	Facility		$50.70	$50.70	$50.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $49.47 / $201.26	Professional		$41.85	$49.47	$201.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $37.70	Facility		$37.70	$37.70	$37.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $37.70 / $49.30	Professional		$28.46	$37.70	$49.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $69.75 / $104.62	Professional		$55.80	$69.75	$104.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $52.41	Facility		$19.09	$19.09	$52.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $37.70 / $61.08	Professional		$28.46	$37.70	$61.08
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $29.58 / $44.55	Professional		$26.71	$29.58	$44.55