Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.53 / $127.53 / $257.95	Facility		$127.53	$127.53	$257.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $206.37 / $206.37	Professional		$127.53	$206.37	$206.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.45 / $106.45 / $106.45	Facility		$106.45	$106.45	$106.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $185.54 / $281.74	Professional		$139.90	$185.54	$281.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.38 / $191.10	Professional		$32.34	$67.38	$191.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.73 / $152.69 / $189.90	Facility		$118.73	$152.69	$189.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.93 / $240.94 / $379.61	Professional		$142.93	$240.94	$379.61
United Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $166.01 / $365.78	Professional		$138.00	$166.01	$365.78