Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.36 / $87.52 / $172.94	Facility		$46.36	$87.52	$172.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $124.00 / $172.94	Professional		$64.28	$124.00	$172.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $88.47 / $130.44	Professional		$72.05	$88.47	$130.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $108.93	Professional		$60.00	$85.00	$108.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $95.00 / $172.94	Facility		$69.44	$95.00	$172.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $111.59 / $195.04	Professional		$72.54	$111.59	$195.04
United Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $111.28 / $131.80	Professional		$73.50	$111.28	$131.80