Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $93.71 / $93.71	Facility		$93.71	$93.71	$93.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $116.99 / $146.60	Professional		$93.71	$116.99	$146.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.72	Professional		$107.43	$107.43	$107.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $186.77	Professional		$32.34	$32.34	$186.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $107.10 / $151.00	Facility		$93.71	$107.10	$151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $121.03	Professional		$107.43	$107.43	$121.03
United Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $185.64 / $261.08	Professional		$133.56	$185.64	$261.08