Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.91 / $94.91 / $94.91	Facility		$94.91	$94.91	$94.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $145.76 / $532.23	Professional		$87.19	$145.76	$532.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.43 / $100.43	Professional		$73.31	$100.43	$100.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.85 / $193.57 / $290.35	Professional		$154.85	$193.57	$290.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $46.76 / $145.46	Facility		$46.76	$46.76	$145.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.43 / $170.12	Professional		$73.31	$100.43	$170.12
United Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $72.43 / $109.10	Professional		$65.76	$72.43	$109.10