Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.06 / $82.06 / $82.06	Facility		$82.06	$82.06	$82.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $82.06 / $188.49	Professional		$71.70	$82.06	$188.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $39.21 / $39.21	Professional		$39.21	$39.21	$39.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $73.42 / $73.42	Facility		$56.23	$73.42	$73.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
United Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $71.98	Professional		$71.98	$71.98	$71.98