Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $45.33 / $45.33	Facility		$45.33	$45.33	$45.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $69.62 / $258.97	Professional		$45.33	$69.62	$258.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $51.32	Facility		$51.32	$51.32	$51.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.32 / $51.32	Professional		$37.46	$51.32	$51.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $92.45 / $138.67	Professional		$73.95	$92.45	$138.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $69.45	Facility		$26.46	$26.46	$69.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.32 / $105.18	Professional		$37.46	$51.32	$105.18
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $40.98 / $61.73	Professional		$37.89	$40.98	$61.73