Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $933.25 / $933.25	Facility		$426.58	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $338.84	Professional		$199.53	$263.03	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $602.56	Professional		$436.52	$436.52	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $354.81 / $831.76	Facility		$190.55	$354.81	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $309.03	Professional		$295.12	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $169.82	Professional		$117.49	$117.49	$169.82