Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $76.16 / $153.33	Facility		$76.16	$76.16	$153.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $122.66 / $608.53	Professional		$76.16	$122.66	$608.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.50 / $195.50 / $195.50	Facility		$195.50	$195.50	$195.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.11 / $158.10 / $192.26	Professional		$146.11	$158.10	$192.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $32.34 / $149.94	Professional		$18.77	$32.34	$149.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $192.46 / $208.49	Facility		$123.40	$192.46	$208.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $168.58 / $214.99	Professional		$129.25	$168.58	$214.99
United Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $114.66 / $208.32	Professional		$90.81	$114.66	$208.32