Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $338.84 / $346.74	Facility		$158.49	$338.84	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $208.93	Professional		$74.13	$100.00	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $97.72 / $151.36	Professional		$40.74	$97.72	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $125.89	Facility		$69.18	$100.00	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $158.49	Professional		$47.86	$97.72	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $95.50	Facility		$47.86	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $39.81 / $63.10	Professional		$37.15	$39.81	$63.10