Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $107.76 / $493.23	Professional		$80.95	$107.76	$493.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Facility		$70.53	$70.53	$70.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $70.53 / $128.61	Professional		$70.53	$70.53	$128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $75.00 / $198.68	Professional		$16.84	$75.00	$198.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $118.87 / $135.93	Facility		$70.53	$118.87	$135.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $70.53 / $128.61	Professional		$70.53	$70.53	$128.61
United Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $80.98 / $130.15	Professional		$71.58	$80.98	$130.15