Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $161.31 / $161.31	Professional		$120.42	$161.31	$161.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $174.27	Professional		$19.86	$174.27	$174.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $38.23 / $272.13	Professional		$20.39	$38.23	$272.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $137.82 / $199.94	Facility		$77.59	$137.82	$199.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $174.27	Professional		$19.86	$174.27	$174.27
United Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $116.71 / $181.04	Professional		$100.56	$116.71	$181.04