Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $81.78 / $164.86	Facility		$81.78	$81.78	$164.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $131.88 / $655.36	Professional		$81.78	$131.88	$655.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.38 / $199.38 / $199.38	Facility		$199.38	$199.38	$199.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $186.58 / $244.46	Professional		$173.26	$186.58	$244.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.57 / $160.69	Professional		$28.84	$37.57	$160.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.49 / $216.54 / $238.85	Facility		$135.49	$216.54	$238.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $188.42 / $244.46	Professional		$153.26	$188.42	$244.46
United Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $125.38 / $224.50	Professional		$117.84	$125.38	$224.50