Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $424.33 / $848.64	Facility		$212.16	$424.33	$848.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $339.46 / $339.46	Professional		$212.16	$339.46	$339.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $183.87 / $183.87	Facility		$183.87	$183.87	$183.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $438.46 / $461.09 / $461.09	Professional		$438.46	$461.09	$461.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $282.88 / $356.43	Facility		$183.87	$282.88	$356.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.44 / $339.46 / $393.20	Professional		$298.44	$339.46	$393.20
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $169.73	Professional		$118.81	$118.81	$169.73