Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $32.94 / $32.94	Facility		$32.94	$32.94	$32.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $42.11 / $199.91	Professional		$32.94	$42.11	$199.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $156.00	Facility		$44.23	$44.23	$156.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $48.89	Professional		$37.60	$37.60	$48.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $69.14 / $103.71	Professional		$60.00	$69.14	$103.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $69.27 / $155.06	Facility		$44.13	$69.27	$155.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $48.89 / $78.12	Professional		$37.60	$48.89	$78.12
United Facility/Professional Facility Modifier Low / Median / High Price $41.05 / $44.31 / $50.34	Facility		$41.05	$44.31	$50.34
United Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $38.79 / $77.45	Professional		$32.20	$38.79	$77.45