Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $205.50 / $411.00	Facility		$102.75	$205.50	$411.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $164.40 / $880.91	Professional		$102.75	$164.40	$880.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $89.05 / $89.05	Facility		$89.05	$89.05	$89.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $165.06 / $227.00	Professional		$122.79	$165.06	$227.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.35 / $223.31 / $223.31	Professional		$212.35	$223.31	$223.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $137.00 / $172.62	Facility		$89.05	$137.00	$172.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $165.77 / $197.28	Professional		$140.61	$165.77	$197.28
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $82.20	Professional		$57.54	$57.54	$82.20