Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $108.93 / $108.93	Facility		$108.93	$108.93	$108.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $167.28 / $834.26	Professional		$108.93	$167.28	$834.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $135.51	Facility		$135.51	$135.51	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $135.51	Professional		$98.92	$135.51	$135.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $222.14 / $333.21	Professional		$177.71	$222.14	$333.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $166.93	Facility		$69.84	$69.84	$166.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $260.32	Professional		$98.92	$135.51	$260.32
United Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $108.19 / $162.97	Professional		$98.23	$108.19	$162.97