Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.30 / $165.30 / $165.30	Facility		$165.30	$165.30	$165.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $144.41 / $165.30	Professional		$139.19	$144.41	$165.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $147.90 / $174.00	Facility		$139.19	$147.90	$174.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $181.25	Professional		$147.90	$147.90	$181.25
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $145.00	Professional		$145.00	$145.00	$145.00