Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.86 / $45.86 / $45.86	Facility		$45.86	$45.86	$45.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $44.75 / $182.07	Professional		$37.86	$44.75	$182.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $44.60	Professional		$32.22	$37.90	$44.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $63.10 / $94.65	Professional		$50.48	$63.10	$94.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.28 / $47.42	Facility		$17.28	$17.28	$47.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $44.60 / $73.94	Professional		$32.22	$44.60	$73.94
United Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $26.76 / $40.31	Professional		$24.16	$26.76	$40.31