Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $194.00 / $387.99	Facility		$97.00	$194.00	$387.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $155.19 / $831.59	Professional		$97.00	$155.19	$831.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $84.06 / $84.06	Facility		$84.06	$84.06	$84.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $139.10 / $185.85	Professional		$44.41	$139.10	$185.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $71.13	Professional		$71.13	$71.13	$71.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $122.86 / $153.44	Facility		$68.90	$122.86	$153.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $129.33 / $139.10	Professional		$83.37	$129.33	$139.10
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $48.11 / $77.59	Professional		$45.31	$48.11	$77.59