Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $70.79	Professional		$47.86	$56.23	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $79.43	Professional		$56.23	$56.23	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $64.57 / $114.82	Facility		$48.98	$64.57	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $162.18	Professional		$60.26	$60.26	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $125.89	Professional		$60.26	$89.13	$125.89