Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $137.41 / $223.48	Facility		$137.41	$137.41	$223.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $212.68 / $477.55	Professional		$126.69	$212.68	$477.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $231.23 / $380.54	Professional		$152.41	$231.23	$380.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.68 / $322.35	Professional		$32.34	$38.68	$322.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.41 / $189.98 / $272.41	Facility		$131.41	$189.98	$272.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.04 / $248.00 / $437.56	Professional		$159.04	$248.00	$437.56
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $304.77 / $456.31	Professional		$190.81	$304.77	$456.31