Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $630.96 / $1,148.15	Facility		$288.40	$630.96	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $380.19	Professional		$144.54	$239.88	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $831.76	Professional		$588.84	$588.84	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $371.54 / $562.34	Facility		$173.78	$371.54	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $426.58	Professional		$204.17	$208.93	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82