Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.62 / $73.62 / $147.00	Facility		$73.62	$73.62	$147.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $117.60 / $117.60	Professional		$73.62	$117.60	$117.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $108.16 / $151.04	Professional		$79.34	$108.16	$151.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $32.34 / $111.69	Professional		$20.70	$32.34	$111.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $87.36 / $104.98	Facility		$64.76	$87.36	$104.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $133.84 / $220.74	Professional		$82.87	$133.84	$220.74
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $93.47 / $199.87	Professional		$80.84	$93.47	$199.87