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 $371.02 / $425.99 / $447.97	Professional		$371.02	$425.99	$447.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $246.52 / $310.62	Facility		$178.64	$246.52	$310.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $332.54 / $382.01	Professional		$260.08	$332.54	$382.01
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $147.91	Professional		$103.54	$103.54	$147.91