Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.72 / $60.72 / $60.72	Facility		$60.72	$60.72	$60.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $93.25 / $271.70	Professional		$56.56	$93.25	$271.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $58.84	Facility		$58.84	$58.84	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $58.84 / $58.84	Professional		$42.95	$58.84	$58.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $181.38 / $272.07	Professional		$145.10	$181.38	$272.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $30.33 / $93.05	Facility		$30.33	$30.33	$93.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $58.84 / $129.65	Professional		$42.95	$58.84	$129.65
United Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $46.98 / $70.77	Professional		$42.54	$46.98	$70.77