Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $131.83	Facility		$128.82	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $213.80	Professional		$75.86	$100.00	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $186.21	Professional		$85.11	$128.82	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $229.09	Facility		$95.50	$141.25	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $263.03	Professional		$89.13	$154.88	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $1,513.56	Facility		$691.83	$1,513.56	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $208.93	Professional		$95.50	$114.82	$208.93