Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $50.60 / $50.60	Facility		$50.60	$50.60	$50.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $77.70 / $289.22	Professional		$50.60	$77.70	$289.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $69.65	Facility		$69.65	$69.65	$69.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $69.65 / $69.65	Professional		$50.84	$69.65	$69.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $103.19 / $154.78	Professional		$82.55	$103.19	$154.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $77.56	Facility		$29.54	$29.54	$77.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $69.65 / $117.48	Professional		$50.84	$69.65	$117.48
United Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $45.77 / $68.94	Professional		$41.55	$45.77	$68.94