Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $80.31 / $364.59	Professional		$59.95	$80.31	$364.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $78.94	Facility		$78.94	$78.94	$78.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $78.94 / $97.75	Professional		$78.94	$78.94	$97.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $75.00 / $152.50	Professional		$12.85	$75.00	$152.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.18 / $65.27 / $100.68	Facility		$35.18	$65.27	$100.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $78.94 / $97.75	Professional		$78.94	$78.94	$97.75
United Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $62.49 / $82.09	Professional		$46.19	$62.49	$82.09