Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $194.22 / $501.00	Professional		$194.22	$194.22	$501.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Facility		$206.70	$206.70	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.45 / $210.45 / $210.45	Professional		$210.45	$210.45	$210.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $206.09 / $206.70	Facility		$141.19	$206.09	$206.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00