Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $93.52 / $418.93	Professional		$69.09	$93.52	$418.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $57.76 / $103.09	Professional		$57.76	$57.76	$103.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $75.00 / $147.71	Professional		$10.51	$75.00	$147.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $73.98 / $116.04	Facility		$42.97	$73.98	$116.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $57.76 / $103.09	Professional		$57.76	$57.76	$103.09
United Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $66.56 / $100.27	Professional		$56.41	$66.56	$100.27