Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $63.10	Professional		$50.12	$50.12	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $57.54	Professional		$51.29	$51.29	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $77.62	Professional		$36.31	$52.48	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $190.55	Facility		$51.29	$63.10	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $125.89	Professional		$70.79	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $125.89	Professional		$54.95	$95.50	$125.89