Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.22 / $596.22 / $596.22	Facility		$596.22	$596.22	$596.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $178.75 / $178.75	Professional		$111.72	$178.75	$178.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.82 / $96.82 / $96.82	Facility		$96.82	$96.82	$96.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.05 / $323.95 / $323.95	Professional		$308.05	$323.95	$323.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.82 / $165.52 / $208.56	Facility		$96.82	$165.52	$208.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $178.75 / $207.05	Professional		$171.30	$178.75	$207.05
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $69.52 / $89.38	Professional		$62.56	$69.52	$89.38