Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $183.33 / $366.66	Facility		$91.67	$183.33	$366.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $146.66 / $785.88	Professional		$91.67	$146.66	$785.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $79.44 / $79.44	Facility		$79.44	$79.44	$79.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $182.00 / $250.30	Professional		$109.46	$182.00	$250.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $199.22	Professional		$60.00	$60.00	$199.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $150.88 / $190.12	Facility		$79.44	$150.88	$190.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $155.22 / $215.71	Professional		$140.55	$155.22	$215.71
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $63.37 / $73.33	Professional		$51.33	$63.37	$73.33