Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $115.26 / $115.26	Facility		$115.26	$115.26	$115.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $177.01 / $615.34	Professional		$105.89	$177.01	$615.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $110.16	Professional		$80.42	$110.16	$110.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.04 / $235.06 / $352.59	Professional		$188.04	$235.06	$352.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $56.78 / $176.65	Facility		$56.78	$56.78	$176.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $206.59	Professional		$80.42	$110.16	$206.59
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $87.95 / $132.49	Professional		$79.86	$87.95	$132.49