Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.63 / $56.63 / $56.63	Facility		$56.63	$56.63	$56.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $86.96 / $397.25	Professional		$56.63	$86.96	$397.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $75.47	Facility		$75.47	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $75.47 / $75.47	Professional		$55.09	$75.47	$75.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $115.49 / $173.23	Professional		$92.39	$115.49	$173.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $33.26 / $86.79	Facility		$33.26	$33.26	$86.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $75.47 / $131.22	Professional		$55.09	$75.47	$131.22
United Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $51.52 / $77.59	Professional		$46.78	$51.52	$77.59