Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $38.53 / $38.53	Facility		$38.53	$38.53	$38.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $59.17 / $220.07	Professional		$38.53	$59.17	$220.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Facility		$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $43.62 / $43.62	Professional		$31.84	$43.62	$43.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $78.56 / $117.85	Professional		$62.85	$78.56	$117.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $22.48 / $59.04	Facility		$22.48	$22.48	$59.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $43.62 / $89.39	Professional		$31.84	$43.62	$89.39
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.83 / $52.46	Professional		$31.62	$34.83	$52.46