Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $302.00 / $302.00	Facility		$138.04	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $109.65	Professional		$64.57	$83.18	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $194.98	Professional		$141.25	$141.25	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $141.25 / $269.15	Facility		$61.66	$141.25	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $131.83	Professional		$100.00	$120.23	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $54.95	Professional		$38.90	$47.86	$54.95