Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.29 / $56.29 / $56.29	Facility		$56.29	$56.29	$56.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $86.45 / $389.99	Professional		$56.29	$86.45	$389.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $87.42 / $87.42	Professional		$63.82	$87.42	$87.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $114.80 / $172.20	Professional		$91.84	$114.80	$172.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $32.65 / $87.42	Facility		$32.65	$32.65	$87.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $87.42 / $134.50	Professional		$63.82	$87.42	$134.50
United Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $50.57 / $76.18	Professional		$45.92	$50.57	$76.18