Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $82.34 / $82.34	Facility		$82.34	$82.34	$82.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $126.45 / $402.66	Professional		$82.34	$126.45	$402.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $90.28	Professional		$65.90	$90.28	$90.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $167.92 / $251.88	Professional		$134.33	$167.92	$251.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $44.95 / $126.19	Facility		$44.95	$44.95	$126.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $163.55	Professional		$65.90	$90.28	$163.55
United Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $69.62 / $104.88	Professional		$62.93	$69.62	$104.88