Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $147.22 / $147.22	Facility		$147.22	$147.22	$147.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $47.42 / $147.22	Professional		$45.70	$47.42	$147.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Facility		$48.56	$48.56	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $147.22 / $239.97	Professional		$147.22	$147.22	$239.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $48.56 / $147.22	Facility		$45.70	$48.56	$147.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $184.03	Professional		$48.56	$48.56	$184.03
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $57.13	Professional		$57.13	$57.13	$57.13