Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.51 / $413.03 / $826.05	Facility		$206.51	$413.03	$826.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.51 / $206.51 / $989.00	Professional		$206.51	$206.51	$989.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.98 / $178.98 / $178.98	Facility		$178.98	$178.98	$178.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.79 / $448.82 / $448.82	Professional		$426.79	$448.82	$448.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.98 / $245.44 / $275.35	Facility		$178.98	$245.44	$275.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.49 / $330.42 / $382.74	Professional		$290.49	$330.42	$382.74
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $115.65 / $165.21	Professional		$115.65	$115.65	$165.21