Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $208.93	Facility		$204.17	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $389.05	Professional		$104.71	$158.49	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $489.78	Professional		$128.82	$257.04	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $741.31	Facility		$147.91	$257.04	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $407.38	Professional		$181.97	$288.40	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $13,803.84 / $13,803.84	Facility		$6,165.95	$13,803.84	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $446.68	Professional		$165.96	$295.12	$446.68