Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $50.85 / $50.85	Facility		$50.85	$50.85	$50.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $69.41 / $282.04	Professional		$44.03	$69.41	$282.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $45.81	Facility		$45.81	$45.81	$45.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.81 / $45.81	Professional		$33.44	$45.81	$45.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $92.17 / $138.25	Professional		$73.73	$92.17	$138.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $69.27	Facility		$23.61	$23.61	$69.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.81 / $98.15	Professional		$33.44	$45.81	$98.15
United Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $41.87 / $56.36	Professional		$33.82	$41.87	$56.36