Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $184.00 / $231.37	Professional		$182.18	$184.00	$231.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $168.64 / $296.95	Professional		$118.04	$168.64	$296.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.04 / $182.18 / $231.37	Facility		$180.04	$182.18	$231.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $225.05	Professional		$182.18	$182.18	$225.05
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18