Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.36 / $97.36 / $97.36	Facility		$97.36	$97.36	$97.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $103.69 / $114.43	Professional		$92.34	$103.69	$114.43
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 $97.36 / $103.12 / $138.52	Facility		$97.36	$103.12	$138.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $109.56	Professional		$107.43	$107.43	$109.56
United Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $190.83 / $255.47	Professional		$157.80	$190.83	$255.47