Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $151.36 / $151.36	Facility		$144.54	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $181.97	Professional		$79.43	$107.15	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $186.21	Professional		$93.33	$125.89	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $109.65	Professional		$26.92	$33.11	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $234.42	Facility		$100.00	$144.54	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $269.15	Professional		$97.72	$158.49	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,047.13 / $1,047.13	Facility		$467.74	$1,047.13	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $208.93	Professional		$97.72	$114.82	$208.93