Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $77.23 / $358.45	Professional		$57.65	$77.23	$358.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $102.38	Professional		$62.10	$62.10	$102.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $75.00 / $147.41	Professional		$13.80	$75.00	$147.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $62.10 / $95.73	Facility		$40.01	$62.10	$95.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $102.38	Professional		$62.10	$62.10	$102.38
United Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $59.39 / $93.36	Professional		$52.53	$59.39	$93.36