Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $107.10 / $107.10	Facility		$107.10	$107.10	$107.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $96.78 / $107.10	Professional		$61.78	$96.78	$107.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $153.49	Professional		$60.12	$60.12	$153.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $240.21 / $240.21	Professional		$176.84	$240.21	$240.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $147.37 / $267.25	Facility		$102.61	$147.37	$267.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $207.74	Professional		$60.12	$60.12	$207.74
United Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $64.52 / $106.37	Professional		$62.49	$64.52	$106.37