Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $38.45 / $176.76	Professional		$28.70	$38.45	$176.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Facility		$40.36	$40.36	$40.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $40.36 / $48.45	Professional		$40.36	$40.36	$48.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $41.35 / $75.07	Professional		$6.17	$41.35	$75.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $31.92 / $48.19	Facility		$20.61	$31.92	$48.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $40.36 / $48.45	Professional		$40.36	$40.36	$48.45
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $30.56 / $48.08	Professional		$27.05	$30.56	$48.08