Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.44 / $73.44 / $73.44	Facility		$73.44	$73.44	$73.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $112.78 / $446.03	Professional		$69.63	$112.78	$446.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Facility		$75.81	$75.81	$75.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $75.81	Professional		$55.35	$75.81	$75.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $149.77 / $224.65	Professional		$119.81	$149.77	$224.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $37.34 / $112.56	Facility		$37.34	$37.34	$112.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $135.88	Professional		$55.35	$75.81	$135.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $57.84 / $87.13	Professional		$52.52	$57.84	$87.13