Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.97 / $245.94 / $491.88	Facility		$122.97	$245.94	$491.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $196.75 / $196.75	Professional		$122.97	$196.75	$196.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $106.57 / $106.57	Facility		$106.57	$106.57	$106.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.14 / $267.25 / $267.25	Professional		$254.14	$267.25	$267.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $202.42 / $255.05	Facility		$106.57	$202.42	$255.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $207.41 / $227.90	Professional		$188.55	$207.41	$227.90
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $85.02 / $98.38	Professional		$68.86	$85.02	$98.38