Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.18 / $153.50 / $153.50	Professional		$116.18	$153.50	$153.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $153.77 / $153.77	Professional		$18.44	$153.77	$153.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $37.03 / $229.56	Professional		$19.75	$37.03	$229.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $122.75 / $192.90	Facility		$68.58	$122.75	$192.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $153.77 / $153.77	Professional		$18.44	$153.77	$153.77
United Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $105.46 / $160.86	Professional		$84.31	$105.46	$160.86