Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $55.99 / $61.15	Facility		$55.99	$55.99	$61.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $48.92 / $58.94	Professional		$47.15	$48.92	$58.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $70.00	Facility		$52.07	$52.07	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $74.52 / $1,500.00	Professional		$55.20	$74.52	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $52.07 / $62.48	Facility		$47.15	$52.07	$62.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $58.94	Professional		$52.07	$52.07	$58.94
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $58.94 / $62.48	Professional		$58.94	$58.94	$62.48