Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.21 / $134.21 / $134.21	Facility		$134.21	$134.21	$134.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $159.54 / $210.55	Professional		$130.37	$159.54	$210.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.15	Professional		$141.06	$141.06	$141.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $245.54	Professional		$32.34	$32.34	$245.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $150.63 / $216.87	Facility		$128.97	$150.63	$216.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $169.91	Professional		$141.06	$141.06	$169.91
United Facility/Professional Professional Modifier Low / Median / High Price $208.72 / $265.72 / $365.96	Professional		$208.72	$265.72	$365.96