Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.28 / $114.28 / $114.28	Facility		$114.28	$114.28	$114.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $175.51 / $868.78	Professional		$114.28	$175.51	$868.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $277.45	Professional		$103.02	$103.02	$277.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $233.06 / $349.59	Professional		$186.44	$233.06	$349.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $175.15	Facility		$72.73	$72.73	$175.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $141.12 / $271.01	Professional		$103.02	$141.12	$271.01
United Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $112.67 / $169.72	Professional		$102.30	$112.67	$169.72