Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $131.66 / $238.83	Facility		$105.33	$131.66	$238.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $91.48 / $114.35	Professional		$91.48	$91.48	$114.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $43.79 / $43.79	Professional		$43.79	$43.79	$43.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.63 / $79.61 / $105.33	Facility		$75.63	$79.61	$105.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $79.61 / $79.61	Professional		$65.28	$79.61	$79.61
United Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $44.23 / $63.23	Professional		$41.67	$44.23	$63.23