Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $141.25	Professional		$63.10	$104.71	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $181.97	Professional		$60.26	$60.26	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $158.49 / $275.42	Facility		$91.20	$158.49	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $162.18	Professional		$61.66	$61.66	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $107.15	Professional		$63.10	$67.61	$107.15