Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $160.16 / $160.16	Facility		$160.16	$160.16	$160.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $139.94 / $160.16	Professional		$139.94	$139.94	$160.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $104.27 / $104.27	Professional		$104.27	$104.27	$104.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $143.31 / $143.31	Facility		$97.50	$143.31	$143.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Professional		$140.50	$140.50	$140.50