Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.11 / $63.11 / $63.11	Facility		$63.11	$63.11	$63.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $96.92 / $357.76	Professional		$61.10	$96.92	$357.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $66.72	Professional		$48.71	$66.72	$66.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $128.71 / $193.06	Professional		$102.96	$128.71	$193.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $96.74	Facility		$32.76	$32.76	$96.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $150.83	Professional		$48.71	$66.72	$150.83
United Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $50.75 / $76.45	Professional		$46.09	$50.75	$76.45