Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $195.37 / $195.37	Facility		$125.32	$195.37	$195.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $125.32 / $175.45	Professional		$69.65	$125.32	$175.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $239.40 / $239.40	Professional		$239.40	$239.40	$239.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $245.93	Facility		$47.60	$47.60	$245.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67