Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $235.13 / $470.25	Facility		$117.56	$235.13	$470.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $117.56 / $117.56	Professional		$117.56	$117.56	$117.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $101.89 / $101.89	Facility		$101.89	$101.89	$101.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.96 / $255.50 / $255.50	Professional		$242.96	$255.50	$255.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $101.89 / $197.51	Facility		$101.89	$101.89	$197.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.37 / $165.37 / $188.10	Professional		$165.37	$165.37	$188.10
United Facility/Professional Facility Modifier Low / Median / High Price $141.08 / $141.08 / $141.08	Facility		$141.08	$141.08	$141.08
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $65.84 / $94.05	Professional		$65.84	$65.84	$94.05