Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $95.62 / $95.62	Facility		$95.62	$95.62	$95.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $146.85 / $667.11	Professional		$95.62	$146.85	$667.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.00 / $144.01	Professional		$105.13	$144.00	$144.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $195.01 / $292.51	Professional		$156.00	$195.01	$292.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $55.85 / $146.55	Facility		$55.85	$55.85	$146.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.01 / $216.96	Professional		$105.13	$144.01	$216.96
United Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $86.51 / $130.32	Professional		$78.55	$86.51	$130.32