Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $136.05 / $631.40	Professional		$92.42	$136.05	$631.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $134.41	Facility		$134.41	$134.41	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $134.41 / $154.66	Professional		$134.41	$134.41	$154.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $75.00 / $259.68	Professional		$21.67	$75.00	$259.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $101.13 / $153.44	Facility		$59.91	$101.13	$153.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $134.41 / $154.66	Professional		$134.41	$134.41	$154.66
United Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $92.80 / $139.79	Professional		$78.65	$92.80	$139.79