Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $117.49	Professional		$56.23	$69.18	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $173.78	Professional		$54.95	$54.95	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $223.87	Professional		$120.23	$151.36	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $109.65 / $141.25	Facility		$37.15	$109.65	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $138.04	Professional		$54.95	$54.95	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $158.49	Facility		$44.67	$64.57	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $87.10	Professional		$52.48	$57.54	$87.10