Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $133.91 / $133.91	Facility		$133.91	$133.91	$133.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $182.79 / $768.74	Professional		$120.02	$182.79	$768.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Facility		$172.35	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $172.35 / $172.35	Professional		$125.82	$172.35	$172.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.19 / $242.74 / $364.11	Professional		$194.19	$242.74	$364.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $64.36 / $182.43	Facility		$64.36	$64.36	$182.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $172.35 / $245.96	Professional		$125.82	$172.35	$245.96
United Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $131.74 / $142.66	Facility		$76.81	$131.74	$142.66
United Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $99.69 / $153.62	Professional		$92.17	$99.69	$153.62