Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.40 / $57.40 / $115.85	Facility		$57.40	$57.40	$115.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $92.68 / $459.24	Professional		$57.40	$92.68	$459.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.54 / $150.54 / $150.54	Facility		$150.54	$150.54	$150.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $132.40 / $176.40	Professional		$124.64	$132.40	$176.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $32.34 / $137.74	Professional		$15.28	$32.34	$137.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.79 / $152.13 / $166.32	Facility		$95.79	$152.13	$166.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $134.80 / $176.40	Professional		$110.73	$134.80	$176.40
United Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $89.21 / $156.94	Professional		$85.77	$89.21	$156.94