Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.50 / $180.50 / $180.50	Facility		$180.50	$180.50	$180.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $157.69 / $180.50	Professional		$152.00	$157.69	$180.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $60.00 / $107.45	Professional		$46.72	$60.00	$107.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $153.90 / $162.60	Facility		$65.92	$153.90	$162.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $203.25	Professional		$161.50	$161.50	$203.25
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $167.51	Professional		$167.51	$167.51	$167.51