Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.44 / $71.44 / $71.44	Facility		$71.44	$71.44	$71.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $97.52 / $451.83	Professional		$70.54	$97.52	$451.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $97.44 / $97.44	Professional		$71.13	$97.44	$97.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $129.47 / $194.22	Professional		$103.58	$129.47	$194.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $37.83 / $97.44	Facility		$37.83	$37.83	$97.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $97.44 / $149.28	Professional		$71.13	$97.44	$149.28
United Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $133.11 / $156.60	Facility		$133.11	$133.11	$156.60
United Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $58.60 / $89.66	Professional		$54.17	$58.60	$89.66