Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $43.58	Facility		$43.58	$43.58	$43.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $59.49 / $227.94	Professional		$35.59	$59.49	$227.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Facility		$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $37.03	Professional		$27.03	$37.03	$37.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $79.00 / $118.50	Professional		$63.20	$79.00	$118.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $19.07 / $59.38	Facility		$19.07	$19.07	$59.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $69.43	Professional		$27.03	$37.03	$69.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $33.84 / $45.24	Professional		$27.34	$33.84	$45.24