Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $92.09 / $185.53	Facility		$92.09	$92.09	$185.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $148.41 / $738.91	Professional		$92.09	$148.41	$738.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.17 / $232.17 / $232.17	Facility		$232.17	$232.17	$232.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.27 / $207.80 / $280.35	Professional		$163.27	$207.80	$280.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $37.57 / $182.36	Professional		$28.44	$37.57	$182.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.50 / $184.11 / $232.17	Facility		$138.50	$184.11	$232.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $212.03 / $280.35	Professional		$150.26	$212.03	$280.35
United Facility/Professional Facility Modifier Low / Median / High Price $884.18 / $884.18 / $884.18	Facility		$884.18	$884.18	$884.18
United Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $128.76 / $252.64	Professional		$127.68	$128.76	$252.64