Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $137.49 / $274.98	Facility		$68.75	$137.49	$274.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $109.99 / $109.99	Professional		$68.75	$109.99	$109.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $59.58 / $59.58	Facility		$59.58	$59.58	$59.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $149.41 / $149.41	Professional		$142.07	$149.41	$149.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $113.17 / $142.59	Facility		$59.58	$113.17	$142.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $115.95 / $127.41	Professional		$105.41	$115.95	$127.41
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $47.53 / $55.00	Professional		$38.50	$47.53	$55.00