Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $47.66 / $218.71	Professional		$35.57	$47.66	$218.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $48.69	Facility		$48.69	$48.69	$48.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $48.69 / $58.12	Professional		$48.69	$48.69	$58.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $10.60 / $93.03	Professional		$5.65	$10.60	$93.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $43.25 / $59.74	Facility		$30.95	$43.25	$59.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $48.69 / $58.12	Professional		$48.69	$48.69	$58.12
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $44.33 / $72.22	Professional		$36.77	$44.33	$72.22