Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $208.92 / $208.92	Facility		$208.92	$208.92	$208.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $182.53 / $208.92	Professional		$182.53	$182.53	$208.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $14.93 / $186.93	Facility		$2.22	$14.93	$186.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26