Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $95.93 / $194.88	Facility		$95.93	$95.93	$194.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $155.90 / $155.90	Professional		$95.93	$155.90	$155.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $69.55 / $69.55	Facility		$69.55	$69.55	$69.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $326.37 / $495.92	Professional		$119.38	$326.37	$495.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.62 / $151.69	Professional		$32.34	$64.62	$151.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.86 / $516.20 / $704.97	Facility		$108.86	$516.20	$704.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $302.45 / $462.36	Professional		$157.68	$302.45	$462.36
United Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $284.72 / $391.78	Professional		$143.28	$284.72	$391.78