Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $59.67 / $59.67	Facility		$59.67	$59.67	$59.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $91.64 / $340.89	Professional		$59.67	$91.64	$340.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $81.30 / $81.30	Professional		$59.35	$81.30	$81.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $121.69 / $182.53	Professional		$97.35	$121.69	$182.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $34.83 / $91.47	Facility		$34.83	$34.83	$91.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $81.30 / $138.46	Professional		$59.35	$81.30	$138.46
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.95 / $81.27	Professional		$48.98	$53.95	$81.27