Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $154.50 / $309.00	Facility		$77.25	$154.50	$309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $123.60 / $662.29	Professional		$77.25	$123.60	$662.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $66.95 / $66.95	Facility		$66.95	$66.95	$66.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $118.12 / $182.02	Professional		$57.97	$118.12	$182.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $56.65 / $56.65	Professional		$56.65	$56.65	$56.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.40 / $123.60 / $201.39	Facility		$91.40	$123.60	$201.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $182.02	Professional		$103.00	$103.00	$182.02
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $61.28 / $63.15	Professional		$43.26	$61.28	$63.15