Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $48.83 / $214.93	Professional		$35.77	$48.83	$214.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $44.94 / $44.94	Professional		$32.81	$44.94	$44.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $64.84 / $97.26	Professional		$51.87	$64.84	$97.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $19.75 / $48.73	Facility		$19.75	$19.75	$48.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $44.94 / $80.11	Professional		$32.81	$44.94	$80.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $35.02 / $46.81	Professional		$28.28	$35.02	$46.81