Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.88 / $82.88 / $122.44	Facility		$82.88	$82.88	$122.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $114.44 / $260.85	Professional		$75.79	$114.44	$260.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $135.75 / $201.33	Professional		$91.07	$135.75	$201.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $176.35	Professional		$32.34	$32.34	$176.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $114.69 / $165.35	Facility		$70.00	$114.69	$165.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $147.36 / $234.57	Professional		$94.93	$147.36	$234.57
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $170.52 / $263.70	Professional		$123.63	$170.52	$263.70