Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $59.77 / $59.77	Facility		$59.77	$59.77	$59.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $63.52 / $69.80	Professional		$56.52	$63.52	$69.80
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 $59.53 / $63.03 / $84.05	Facility		$59.53	$63.03	$84.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $67.38	Professional		$65.77	$65.77	$67.38
United Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $112.51 / $155.53	Professional		$79.56	$112.51	$155.53