Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $83.17 / $83.17	Facility		$83.17	$83.17	$83.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $127.73 / $489.37	Professional		$83.17	$127.73	$489.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $120.06	Professional		$87.64	$120.06	$120.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.68 / $169.61 / $254.41	Professional		$135.68	$169.61	$254.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $54.63 / $127.46	Facility		$54.63	$54.63	$127.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $204.45	Professional		$87.64	$120.06	$204.45
United Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $84.62 / $127.46	Professional		$76.83	$84.62	$127.46