Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $63.13 / $63.13	Facility		$63.13	$63.13	$63.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $86.18 / $320.56	Professional		$61.08	$86.18	$320.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $90.38	Facility		$90.38	$90.38	$90.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $90.38 / $90.38	Professional		$76.81	$90.38	$90.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $114.44 / $171.66	Professional		$91.55	$114.44	$171.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $90.38	Facility		$32.76	$32.76	$90.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $90.38 / $130.19	Professional		$76.81	$90.38	$130.19
United Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $50.74 / $76.45	Professional		$46.91	$50.74	$76.45