Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $186.00	Facility		$154.88	$154.88	$186.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $148.80 / $154.88	Professional		$148.80	$148.80	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Facility		$77.09	$77.09	$77.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $60.00 / $96.73	Professional		$53.02	$60.00	$96.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Facility		$77.09	$77.09	$77.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $168.54 / $328.65	Professional		$158.66	$168.54	$328.65