Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $660.69 / $660.69	Facility		$302.00	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $239.88	Professional		$128.82	$154.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $426.58	Professional		$309.03	$309.03	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $239.88 / $588.84	Facility		$128.82	$239.88	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $288.40	Professional		$208.93	$218.78	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $120.23	Professional		$83.18	$83.18	$120.23