Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $83.03 / $83.03	Facility		$83.03	$83.03	$83.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $89.10 / $100.28	Professional		$79.19	$89.10	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $93.83	Professional		$92.55	$92.55	$93.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.56	Professional		$32.34	$32.34	$159.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $89.10 / $119.38	Facility		$83.03	$89.10	$119.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $94.39	Professional		$92.55	$92.55	$94.39
United Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $155.55 / $219.61	Professional		$124.57	$155.55	$219.61