Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $102.90 / $205.80	Facility		$51.45	$102.90	$205.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $82.32 / $441.10	Professional		$51.45	$82.32	$441.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $44.59 / $44.59	Facility		$44.59	$44.59	$44.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $105.09 / $170.25	Professional		$61.39	$105.09	$170.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $111.82 / $111.82	Professional		$106.33	$111.82	$111.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $105.42 / $134.18	Facility		$44.59	$105.42	$134.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $95.35 / $149.28	Professional		$78.89	$95.35	$149.28
United Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $57.22 / $114.44	Professional		$41.16	$57.22	$114.44