Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $218.78	Facility		$138.04	$141.25	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $229.09	Professional		$83.18	$114.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $371.54	Professional		$81.28	$134.90	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $128.82 / $208.93	Facility		$87.10	$128.82	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $245.47	Professional		$93.33	$138.04	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $1,412.54	Facility		$229.09	$1,148.15	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $218.78	Professional		$95.50	$138.04	$218.78