Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.46 / $172.46 / $172.46	Facility		$172.46	$172.46	$172.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $119.78 / $166.30	Professional		$55.09	$119.78	$166.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $128.26 / $205.26	Professional		$110.42	$128.26	$205.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.00 / $85.00	Professional		$32.34	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.68 / $123.62 / $172.46	Facility		$58.68	$123.62	$172.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $138.47 / $262.20	Professional		$86.00	$138.47	$262.20
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $201.50 / $318.32	Professional		$141.47	$201.50	$318.32