Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Facility		$145.49	$145.49	$145.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $146.94 / $184.77	Professional		$145.49	$146.94	$184.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Facility		$145.49	$145.49	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $116.96 / $221.57	Professional		$70.00	$116.96	$221.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $160.04	Facility		$145.49	$145.49	$160.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $176.86	Professional		$145.49	$145.49	$176.86
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49