Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.57 / $46.57 / $46.57	Facility		$46.57	$46.57	$46.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $59.44 / $272.64	Professional		$46.57	$59.44	$272.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $105.26	Facility		$65.00	$65.00	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $66.44	Professional		$55.25	$55.25	$66.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $100.43 / $146.26	Professional		$78.00	$100.43	$146.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $62.38 / $89.78	Facility		$60.16	$62.38	$89.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $65.28 / $104.54	Professional		$55.25	$65.28	$104.54
United Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $55.52 / $92.54	Professional		$45.56	$55.52	$92.54