Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $55.31 / $55.31	Facility		$55.31	$55.31	$55.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $84.93 / $283.88	Professional		$55.31	$84.93	$283.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $61.48	Professional		$44.88	$61.48	$61.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $112.78 / $169.17	Professional		$90.22	$112.78	$169.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $31.69 / $84.77	Facility		$31.69	$31.69	$84.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $115.30	Professional		$44.88	$61.48	$115.30
United Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $49.09 / $73.94	Professional		$44.32	$49.09	$73.94