Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $140.47 / $140.47	Facility		$140.47	$140.47	$140.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $131.71 / $140.47	Professional		$98.36	$131.71	$140.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $293.69	Professional		$60.00	$85.00	$293.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $131.71 / $379.20	Facility		$78.80	$131.71	$379.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $373.10	Professional		$147.91	$147.91	$373.10
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $342.87	Professional		$342.87	$342.87	$342.87