Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $912.01	Facility		$416.87	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $331.13	Professional		$204.17	$245.47	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $812.83	Facility		$186.21	$331.13	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $398.11	Professional		$288.40	$302.00	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $165.96	Professional		$114.82	$114.82	$165.96