Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $537.03 / $537.03	Facility		$245.47	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $194.98	Professional		$114.82	$151.36	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $354.81	Professional		$257.04	$257.04	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $257.04 / $478.63	Facility		$109.65	$257.04	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $234.42	Professional		$181.97	$213.80	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $97.72	Professional		$69.18	$85.11	$97.72