Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $69.45 / $84.76	Professional		$53.55	$69.45	$84.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $79.27	Facility		$79.27	$79.27	$79.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $61.30	Professional		$61.30	$61.30	$61.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.00 / $85.00	Professional		$32.34	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.16 / $77.05 / $101.88	Facility		$61.16	$77.05	$101.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $89.03 / $186.89	Professional		$61.30	$89.03	$186.89
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $102.90 / $147.69	Professional		$75.06	$102.90	$147.69