Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Facility		$57.00	$57.00	$57.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $70.83 / $89.12	Professional		$57.00	$70.83	$89.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $67.12	Professional		$66.06	$66.06	$67.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.74	Professional		$32.34	$32.34	$113.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $65.15 / $91.79	Facility		$57.00	$65.15	$91.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $72.15	Professional		$66.06	$66.06	$72.15
United Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $112.83 / $154.13	Professional		$93.30	$112.83	$154.13