Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $51.84 / $51.84	Facility		$51.84	$51.84	$51.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $79.61 / $367.54	Professional		$51.84	$79.61	$367.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $61.81	Facility		$61.81	$61.81	$61.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $61.81 / $61.81	Professional		$45.12	$61.81	$61.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $105.72 / $148.00	Professional		$74.00	$105.72	$148.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $30.77 / $79.45	Facility		$30.77	$30.77	$79.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $61.81 / $133.36	Professional		$45.12	$61.81	$133.36
United Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $47.66 / $71.80	Professional		$44.06	$47.66	$71.80