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
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.37 / $186.52 / $186.52	Professional		$177.37	$186.52	$186.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $114.43 / $144.18	Facility		$74.38	$114.43	$144.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $137.32 / $159.06	Professional		$120.72	$137.32	$159.06
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $68.66	Professional		$48.06	$48.06	$68.66