Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.26 / $86.26 / $86.26	Facility		$86.26	$86.26	$86.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $132.47 / $507.56	Professional		$79.23	$132.47	$507.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $103.32	Professional		$75.42	$103.32	$103.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.73 / $175.92 / $263.88	Professional		$140.73	$175.92	$263.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $132.19	Facility		$42.49	$42.49	$132.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $154.61	Professional		$75.42	$103.32	$154.61
United Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $65.81 / $99.15	Professional		$59.76	$65.81	$99.15