Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.29 / $210.29 / $210.29	Facility		$210.29	$210.29	$210.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $203.42 / $210.29	Professional		$145.37	$203.42	$210.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $436.51	Professional		$60.00	$85.00	$436.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $204.48 / $552.50	Facility		$115.27	$204.48	$552.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $966.88	Professional		$216.38	$216.38	$966.88
United Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $254.57	Professional		$254.57	$254.57	$254.57