Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.11 / $178.11 / $213.89	Facility		$178.11	$178.11	$213.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $171.11 / $178.11	Professional		$51.54	$171.11	$178.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.76 / $103.76 / $103.76	Facility		$103.76	$103.76	$103.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $27.13 / $27.13	Professional		$27.13	$27.13	$27.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $60.00 / $1,000.00	Professional		$52.05	$60.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.54 / $145.44 / $222.76	Facility		$51.54	$145.44	$222.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $27.13 / $805.50	Professional		$27.13	$27.13	$805.50
United Facility/Professional Facility Modifier Low / Median / High Price $235.69 / $235.69 / $235.69	Facility		$235.69	$235.69	$235.69
United Facility/Professional Professional Modifier Low / Median / High Price $182.79 / $203.90 / $408.88	Professional		$182.79	$203.90	$408.88