Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.20 / $1,558.28 / $1,558.28	Facility		$194.20	$1,558.28	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $700.00 / $700.00	Professional		$194.20	$700.00	$700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $283.95 / $283.95	Facility		$283.95	$283.95	$283.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $287.27 / $399.82	Professional		$176.28	$287.27	$399.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $108.68 / $239.38	Professional		$32.34	$108.68	$239.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $333.37 / $533.74	Facility		$159.96	$333.37	$533.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.39 / $350.58 / $504.36	Professional		$213.39	$350.58	$504.36
United Facility/Professional Professional Modifier Low / Median / High Price $188.64 / $233.14 / $515.08	Professional		$188.64	$233.14	$515.08