Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $343.29 / $343.29	Facility		$85.82	$343.29	$343.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $85.82 / $85.82	Professional		$85.82	$85.82	$85.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $74.38 / $74.38	Facility		$74.38	$74.38	$74.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $164.68	Professional		$131.75	$131.75	$164.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $62.94 / $62.94	Professional		$62.94	$62.94	$62.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $114.43 / $137.32	Facility		$108.71	$114.43	$137.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $114.43 / $114.43	Professional		$93.83	$114.43	$114.43
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $68.66	Professional		$48.06	$48.06	$68.66