Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.25 / $147.25 / $294.66	Facility		$147.25	$147.25	$294.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $235.73 / $1,293.63	Professional		$147.25	$235.73	$1,293.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.58 / $255.29 / $344.67	Professional		$148.58	$255.29	$344.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $145.12	Professional		$32.34	$32.34	$145.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.63 / $173.11 / $430.77	Facility		$111.63	$173.11	$430.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $314.89 / $481.46	Professional		$161.72	$314.89	$481.46
United Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $225.92 / $444.46	Professional		$211.67	$225.92	$444.46