Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $84.58 / $170.48	Facility		$84.58	$84.58	$170.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $98.43 / $136.38	Professional		$84.58	$98.43	$136.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.40 / $80.40 / $80.40	Facility		$80.40	$80.40	$80.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $128.99 / $184.18	Professional		$88.41	$128.99	$184.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.34 / $114.79	Professional		$32.29	$32.34	$114.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.91 / $133.83 / $160.21	Facility		$86.91	$133.83	$160.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $161.07 / $262.75	Professional		$95.98	$161.07	$262.75
United Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $114.76 / $244.11	Professional		$95.58	$114.76	$244.11