Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.13 / $188.25 / $376.50	Facility		$94.13	$188.25	$376.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $150.60 / $806.97	Professional		$94.13	$150.60	$806.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $81.58 / $81.58	Facility		$81.58	$81.58	$81.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $144.13 / $187.45	Professional		$59.68	$144.13	$187.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $69.03 / $69.03	Professional		$69.03	$69.03	$69.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $150.60 / $245.48	Facility		$79.94	$150.60	$245.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $187.45	Professional		$125.50	$125.50	$187.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $74.65 / $76.95	Professional		$52.71	$74.65	$76.95