Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.03 / $128.03 / $128.03	Facility		$128.03	$128.03	$128.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $196.61 / $731.30	Professional		$128.03	$196.61	$731.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $319.19	Professional		$122.64	$122.64	$319.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $261.08 / $391.63	Professional		$208.87	$261.08	$391.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $196.21	Facility		$74.72	$74.72	$196.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $168.00 / $304.14	Professional		$122.64	$168.00	$304.14
United Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $115.74 / $174.34	Professional		$105.09	$115.74	$174.34