Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $323.59	Facility		$147.91	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $107.15	Professional		$64.57	$75.86	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $85.11	Professional		$44.67	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $128.82	Facility		$46.77	$81.28	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $93.33	Professional		$44.67	$66.07	$93.33