Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.69 / $62.69 / $62.69	Facility		$62.69	$62.69	$62.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $96.27 / $358.21	Professional		$62.69	$96.27	$358.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $70.98	Professional		$51.82	$70.98	$70.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $127.84 / $191.76	Professional		$102.27	$127.84	$191.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $36.59 / $96.08	Facility		$36.59	$36.59	$96.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $145.50	Professional		$51.82	$70.98	$145.50
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $56.68 / $85.38	Professional		$51.46	$56.68	$85.38