Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.90 / $229.90 / $229.90	Facility		$229.90	$229.90	$229.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $200.86 / $229.90	Professional		$193.60	$200.86	$229.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $138.13	Professional		$60.00	$85.00	$138.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.98 / $205.70 / $242.00	Facility		$166.98	$205.70	$242.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $275.00	Professional		$205.70	$205.70	$275.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Professional		$220.00	$220.00	$220.00