Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $645.65	Professional		$67.61	$91.20	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $107.15	Professional		$95.50	$95.50	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $75.86 / $218.78	Professional		$12.02	$75.86	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $77.62 / $123.03	Facility		$42.66	$77.62	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $107.15	Professional		$42.66	$95.50	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $60.26 / $104.71	Facility		$6.03	$60.26	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $100.00	Professional		$56.23	$66.07	$100.00