Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $616.60 / $616.60	Facility		$275.42	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $223.87	Professional		$128.82	$151.36	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $398.11	Professional		$288.40	$288.40	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $234.42 / $549.54	Facility		$123.03	$234.42	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $269.15	Professional		$194.98	$204.17	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $112.20	Professional		$77.62	$77.62	$112.20