Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $54.95	Professional		$33.11	$38.02	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $154.88	Facility		$44.67	$44.67	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $104.71	Professional		$60.26	$69.18	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $69.18 / $144.54	Facility		$35.48	$69.18	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $66.07	Professional		$38.02	$38.02	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.67 / $61.66	Facility		$40.74	$44.67	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $77.62	Professional		$32.36	$37.15	$77.62