Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Facility		$66.81	$66.81	$66.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $96.26 / $96.26	Professional		$45.54	$96.26	$96.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $145.09	Professional		$41.25	$56.50	$145.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $224.96 / $337.44	Professional		$60.00	$224.96	$337.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $59.84 / $174.42	Facility		$56.50	$59.84	$174.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $56.50	Professional		$41.25	$56.50	$56.50
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $78.17 / $134.16	Professional		$73.40	$78.17	$134.16