Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $63.37 / $63.37	Facility		$63.37	$63.37	$63.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $97.32 / $347.45	Professional		$62.02	$97.32	$347.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $64.52	Professional		$47.10	$64.52	$64.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $129.22 / $193.84	Professional		$103.38	$129.22	$193.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $33.26 / $97.13	Facility		$33.26	$33.26	$97.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $142.26	Professional		$47.10	$64.52	$142.26
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.52 / $77.59	Professional		$46.77	$51.52	$77.59