Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $70.39 / $90.06	Professional		$57.53	$70.39	$90.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $66.13	Professional		$65.77	$65.77	$66.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.15	Professional		$32.34	$32.34	$114.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $65.73 / $92.76	Facility		$57.53	$65.73	$92.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $74.15	Professional		$65.77	$65.77	$74.15
United Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $115.96 / $158.34	Professional		$95.89	$115.96	$158.34