Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.08 / $199.08 / $199.08	Facility		$199.08	$199.08	$199.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $173.93 / $199.08	Professional		$167.65	$173.93	$199.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $178.13 / $209.56	Facility		$167.65	$178.13	$209.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $240.46	Professional		$178.13	$178.13	$240.46
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $202.90	Professional		$202.90	$202.90	$202.90