Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $100.09 / $205.26	Facility		$100.09	$100.09	$205.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $164.21 / $785.20	Professional		$100.09	$164.21	$785.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $124.50 / $124.50	Facility		$124.50	$124.50	$124.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $234.58 / $300.07	Professional		$187.04	$234.58	$300.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.23 / $146.76	Professional		$32.34	$51.23	$146.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.58 / $245.05 / $274.20	Facility		$139.58	$245.05	$274.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.62 / $227.70 / $300.07	Professional		$186.62	$227.70	$300.07
United Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $152.00 / $271.64	Professional		$118.41	$152.00	$271.64