Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Facility		$61.44	$61.44	$61.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $83.88 / $311.92	Professional		$59.44	$83.88	$311.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $87.96	Facility		$87.96	$87.96	$87.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $87.96 / $87.96	Professional		$74.77	$87.96	$87.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $111.39 / $167.08	Professional		$89.11	$111.39	$167.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $31.87 / $87.96	Facility		$31.87	$31.87	$87.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $87.96 / $126.70	Professional		$74.77	$87.96	$126.70
United Facility/Professional Professional Modifier Low / Median / High Price $45.65 / $49.38 / $75.55	Professional		$45.65	$49.38	$75.55