Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.69 / $124.69 / $252.79	Facility		$124.69	$124.69	$252.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.69 / $202.23 / $202.23	Professional		$124.69	$202.23	$202.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Facility		$99.60	$99.60	$99.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.35 / $324.62 / $454.28	Professional		$152.35	$324.62	$454.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $71.67 / $197.46	Professional		$32.34	$71.67	$197.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.56 / $556.41 / $792.09	Facility		$142.56	$556.41	$792.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $332.99 / $452.82	Professional		$207.76	$332.99	$452.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,212.47 / $6,212.47 / $13,766.26	Facility		$6,212.47	$6,212.47	$13,766.26
United Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $333.62 / $467.99	Professional		$179.37	$333.62	$467.99