Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $213.95 / $427.89	Facility		$106.97	$213.95	$427.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $171.16 / $171.16	Professional		$106.97	$171.16	$171.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $92.71 / $92.71	Facility		$92.71	$92.71	$92.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $232.49 / $232.49	Professional		$221.08	$232.49	$232.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $142.63 / $179.71	Facility		$92.71	$142.63	$179.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $171.16 / $198.26	Professional		$150.47	$171.16	$198.26
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $85.58	Professional		$59.90	$59.90	$85.58