Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $186.21	Facility		$107.15	$112.20	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $190.55	Professional		$69.18	$97.72	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $295.12	Professional		$77.62	$120.23	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $93.33	Professional		$32.36	$33.11	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $114.82 / $173.78	Facility		$67.61	$114.82	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $204.17	Professional		$83.18	$128.82	$204.17
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 $87.10 / $123.03 / $186.21	Professional		$87.10	$123.03	$186.21