Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $71.59 / $117.73	Professional		$60.74	$71.59	$117.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $113.46 / $137.94	Professional		$86.98	$113.46	$137.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $111.57 / $397.32	Professional		$85.00	$111.57	$397.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.80 / $93.49 / $115.51	Facility		$67.80	$93.49	$115.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $113.46 / $137.94	Professional		$84.76	$113.46	$137.94
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $116.10 / $165.90	Professional		$92.45	$116.10	$165.90