Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $81.28	Professional		$57.54	$66.07	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $102.33	Professional		$66.07	$66.07	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $87.10	Facility		$58.88	$67.61	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $69.18	Professional		$67.61	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $154.88	Professional		$85.11	$117.49	$154.88