Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.41 / $49.41 / $49.41	Facility		$49.41	$49.41	$49.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $71.20 / $71.20	Professional		$33.68	$71.20	$71.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $107.79	Professional		$54.79	$54.79	$107.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $70.00	Professional		$50.00	$60.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $44.33 / $129.00	Facility		$44.33	$44.33	$129.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $107.79	Professional		$54.79	$54.79	$107.79
United Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $57.82 / $99.54	Professional		$54.29	$57.82	$99.54