Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $64.57	Professional		$54.95	$57.54	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $85.11	Professional		$44.67	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $102.33	Facility		$54.95	$69.18	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $87.10	Professional		$58.88	$58.88	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18