Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $277.80 / $555.60	Facility		$138.90	$277.80	$555.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $222.24 / $222.24	Professional		$138.90	$222.24	$222.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $120.38 / $120.38	Facility		$120.38	$120.38	$120.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.06 / $301.88 / $301.88	Professional		$287.06	$301.88	$301.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $185.20 / $233.35	Facility		$120.38	$185.20	$233.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.39 / $222.24 / $257.43	Professional		$195.39	$222.24	$257.43
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $111.12	Professional		$77.78	$77.78	$111.12