Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $129.71 / $172.94	Facility		$71.73	$129.71	$172.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $129.71 / $261.02	Professional		$92.87	$129.71	$261.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $132.58 / $202.81	Professional		$101.57	$132.58	$202.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $99.82 / $153.69	Professional		$60.00	$99.82	$153.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $129.59 / $179.04	Facility		$90.00	$129.59	$179.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $169.76 / $272.32	Professional		$101.57	$169.76	$272.32
United Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $165.30 / $197.39	Professional		$111.30	$165.30	$197.39