Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.90 / $167.90 / $167.90	Facility		$167.90	$167.90	$167.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $163.85 / $235.79	Professional		$106.45	$163.85	$235.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $182.82	Professional		$94.26	$94.26	$182.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.22 / $376.56 / $376.56	Professional		$277.22	$376.56	$376.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.37 / $202.93 / $317.89	Facility		$146.37	$202.93	$317.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $325.68	Professional		$94.26	$94.26	$325.68
United Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $100.05 / $166.75	Professional		$97.97	$100.05	$166.75