Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.18 / $95.18 / $95.18	Facility		$95.18	$95.18	$95.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $146.16 / $543.71	Professional		$95.18	$146.16	$543.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $107.78	Professional		$78.68	$107.78	$107.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.28 / $194.11 / $291.16	Professional		$155.28	$194.11	$291.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $55.55 / $145.88	Facility		$55.55	$55.55	$145.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $220.84	Professional		$78.68	$107.78	$220.84
United Facility/Professional Facility Modifier Low / Median / High Price $66.30 / $85.28 / $92.82	Facility		$66.30	$85.28	$92.82
United Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $86.05 / $129.62	Professional		$78.14	$86.05	$129.62