Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $50.23 / $75.76	Facility		$50.23	$50.23	$75.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $52.42 / $60.61	Professional		$43.60	$52.42	$60.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $85.00	Facility		$57.66	$57.66	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.12 / $62.95 / $1,500.00	Professional		$61.12	$62.95	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $62.15 / $276.00	Facility		$50.88	$62.15	$276.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $276.00 / $292.56	Professional		$276.00	$276.00	$292.56