Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.51 / $163.51 / $163.51	Facility		$163.51	$163.51	$163.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $223.20 / $855.18	Professional		$133.51	$223.20	$855.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $182.31	Professional		$133.09	$182.31	$182.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $296.39 / $444.60	Professional		$237.12	$296.39	$444.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $71.59 / $222.75	Facility		$71.59	$71.59	$222.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $269.70	Professional		$133.09	$182.31	$269.70
United Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $110.90 / $170.90	Professional		$102.54	$110.90	$170.90