Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $178.44	Facility		$87.98	$87.98	$178.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $142.75 / $142.75	Professional		$87.98	$142.75	$142.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $68.31 / $68.31	Facility		$68.31	$68.31	$68.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $175.50 / $238.23	Professional		$100.76	$175.50	$238.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.83 / $125.49	Professional		$32.34	$52.83	$125.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $226.59 / $287.38	Facility		$91.16	$226.59	$287.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $197.37 / $263.51	Professional		$104.93	$197.37	$263.51
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $170.17 / $279.54	Professional		$115.13	$170.17	$279.54