Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $80.31 / $80.31	Facility		$80.31	$80.31	$80.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $123.34 / $495.34	Professional		$77.34	$123.34	$495.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $80.45	Professional		$58.73	$80.45	$80.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $163.79 / $245.68	Professional		$131.03	$163.79	$245.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $41.47 / $123.09	Facility		$41.47	$41.47	$123.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $150.88	Professional		$58.73	$80.45	$150.88
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $64.23 / $96.76	Professional		$58.32	$64.23	$96.76