Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Facility		$161.62	$161.62	$161.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $163.24 / $205.26	Professional		$161.62	$163.24	$205.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Facility		$161.62	$161.62	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $275.33	Professional		$60.00	$85.00	$275.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $205.26	Facility		$161.62	$161.62	$205.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $345.00	Professional		$161.62	$161.62	$345.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62