Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $59.30 / $59.30	Facility		$59.30	$59.30	$59.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $91.07 / $360.85	Professional		$56.34	$91.07	$360.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $71.68	Facility		$71.68	$71.68	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $71.68 / $71.68	Professional		$52.33	$71.68	$71.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $120.92 / $181.38	Professional		$96.73	$120.92	$181.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $30.21 / $90.87	Facility		$30.21	$30.21	$90.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $71.68 / $135.31	Professional		$52.33	$71.68	$135.31
United Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $106.31 / $125.07	Facility		$106.31	$106.31	$125.07
United Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $46.79 / $70.48	Professional		$42.49	$46.79	$70.48