Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $165.96	Facility		$131.83	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $371.54	Professional		$131.83	$131.83	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $131.83 / $245.47	Facility		$33.11	$131.83	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $229.09 / $229.09	Facility		$102.33	$229.09	$229.09