Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.19 / $121.19 / $241.81	Facility		$121.19	$121.19	$241.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $193.45 / $1,010.26	Professional		$121.19	$193.45	$1,010.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.79 / $342.79 / $342.79	Facility		$342.79	$342.79	$342.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.81 / $267.88 / $373.97	Professional		$177.81	$267.88	$373.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $32.34 / $222.38	Professional		$18.89	$32.34	$222.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.74 / $172.16 / $216.33	Facility		$114.74	$172.16	$216.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $276.36 / $373.97	Professional		$160.66	$276.36	$373.97
United Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $170.97 / $343.43	Professional		$140.11	$170.97	$343.43