Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $78.65 / $78.65	Facility		$78.65	$78.65	$78.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $53.01 / $70.63	Professional		$52.49	$53.01	$70.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $61.75	Facility		$52.49	$52.49	$61.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Professional		$52.49	$52.49	$52.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $66.69 / $86.45	Professional		$49.40	$66.69	$86.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $66.66	Facility		$52.49	$52.49	$66.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $61.75	Professional		$52.49	$52.49	$61.75
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $55.64	Professional		$52.49	$52.49	$55.64