Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $412.25 / $824.49	Facility		$206.12	$412.25	$824.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $329.80 / $329.80	Professional		$206.12	$329.80	$329.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $178.64 / $178.64	Facility		$178.64	$178.64	$178.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $425.99 / $447.97 / $447.97	Professional		$425.99	$447.97	$447.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $274.83 / $346.29	Facility		$178.64	$274.83	$346.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.95 / $332.54 / $382.01	Professional		$289.95	$332.54	$382.01
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $164.90	Professional		$115.43	$115.43	$164.90