Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.15 / $53.15 / $53.15	Facility		$53.15	$53.15	$53.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $72.56 / $370.67	Professional		$53.15	$72.56	$370.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $60.21	Facility		$60.21	$60.21	$60.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.21 / $60.21	Professional		$43.95	$60.21	$60.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $96.35 / $144.52	Professional		$77.08	$96.35	$144.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $31.03 / $72.41	Facility		$31.03	$31.03	$72.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.21 / $134.51	Professional		$43.95	$60.21	$134.51
United Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $55.03 / $72.48	Professional		$44.44	$55.03	$72.48