Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $173.78 / $173.78	Facility		$169.82	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $316.23	Professional		$102.33	$138.04	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $281.84	Professional		$169.82	$229.09	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $288.40	Facility		$138.04	$186.21	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $281.84	Professional		$117.49	$213.80	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,737.80 / $1,737.80	Facility		$794.33	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $239.88	Professional		$128.82	$128.82	$239.88