Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $151.68 / $303.36	Facility		$75.84	$151.68	$303.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $121.34 / $650.20	Professional		$75.84	$121.34	$650.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $65.73 / $65.73	Facility		$65.73	$65.73	$65.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $90.54 / $114.69	Professional		$90.54	$90.54	$114.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.74 / $164.83 / $164.83	Professional		$156.74	$164.83	$164.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $127.41 / $140.19	Facility		$65.73	$127.41	$140.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $127.92 / $145.61	Professional		$116.29	$127.92	$145.61
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $42.47 / $60.67	Professional		$42.47	$42.47	$60.67