Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $42.34 / $42.34	Facility		$42.34	$42.34	$42.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $57.79 / $221.42	Professional		$34.57	$57.79	$221.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $35.97	Facility		$35.97	$35.97	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.97 / $35.97	Professional		$26.26	$35.97	$35.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $76.73 / $115.11	Professional		$61.39	$76.73	$115.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $18.54 / $57.67	Facility		$18.54	$18.54	$57.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.97 / $71.70	Professional		$26.26	$35.97	$71.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $32.86 / $44.25	Professional		$26.55	$32.86	$44.25