Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.02 / $111.02 / $111.02	Facility		$111.02	$111.02	$111.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $170.50 / $750.01	Professional		$111.02	$170.50	$750.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $136.19	Professional		$99.43	$136.19	$136.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.12 / $226.41 / $339.61	Professional		$181.12	$226.41	$339.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $64.95 / $170.16	Facility		$64.95	$64.95	$170.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $244.60	Professional		$99.43	$136.19	$244.60
United Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $100.63 / $151.58	Professional		$91.37	$100.63	$151.58