Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $49.72 / $49.72	Facility		$49.72	$49.72	$49.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $59.35 / $331.52	Professional		$49.72	$59.35	$331.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.85 / $53.85	Professional		$39.31	$53.85	$53.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $101.40 / $152.10	Professional		$81.12	$101.40	$152.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $63.12 / $63.12	Facility		$45.96	$63.12	$63.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.85 / $118.82	Professional		$39.31	$53.85	$118.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $43.00 / $67.45	Professional		$40.47	$43.00	$67.45