Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.21 / $177.21 / $177.21	Facility		$177.21	$177.21	$177.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $154.83 / $177.21	Professional		$154.83	$154.83	$177.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $63.56 / $63.56	Professional		$63.56	$63.56	$63.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $57.95 / $158.56	Facility		$40.65	$57.95	$158.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $155.44	Professional		$155.44	$155.44	$155.44