Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.14 / $72.14 / $72.14	Facility		$72.14	$72.14	$72.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $110.79 / $412.10	Professional		$72.14	$110.79	$412.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $81.70	Professional		$59.64	$81.70	$81.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $215.52 / $323.27	Professional		$172.41	$215.52	$323.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $42.11 / $110.58	Facility		$42.11	$42.11	$110.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $167.38	Professional		$59.64	$81.70	$167.38
United Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $65.23 / $98.25	Professional		$59.22	$65.23	$98.25