Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $80.15 / $161.96	Facility		$80.15	$80.15	$161.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $129.57 / $669.91	Professional		$80.15	$129.57	$669.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $69.23 / $69.23	Facility		$69.23	$69.23	$69.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $185.09 / $239.47	Professional		$91.49	$185.09	$239.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.90 / $122.65	Professional		$32.34	$39.90	$122.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $113.48 / $199.38	Facility		$76.06	$113.48	$199.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $206.38 / $279.77	Professional		$107.00	$206.38	$279.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,346.74 / $1,346.74 / $1,346.74	Facility		$1,346.74	$1,346.74	$1,346.74
United Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $132.59 / $290.58	Professional		$110.58	$132.59	$290.58