Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.65 / $125.65 / $125.65	Facility		$125.65	$125.65	$125.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.42 / $192.96 / $662.84	Professional		$115.42	$192.96	$662.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $236.12	Professional		$90.75	$90.75	$236.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.98 / $256.23 / $384.34	Professional		$204.98	$256.23	$384.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.89 / $61.89 / $192.56	Facility		$61.89	$61.89	$192.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $124.31 / $238.40	Professional		$90.75	$124.31	$238.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $95.87 / $144.41	Professional		$87.05	$95.87	$144.41