Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.07 / $169.07 / $169.07	Facility		$169.07	$169.07	$169.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $147.72 / $169.07	Professional		$142.38	$147.72	$169.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $151.44	Professional		$60.00	$85.00	$151.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.80 / $151.27 / $177.97	Facility		$122.80	$151.27	$177.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $202.24	Professional		$151.27	$151.27	$202.24
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $161.79	Professional		$161.79	$161.79	$161.79