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 / $436.52	Professional		$102.33	$138.04	$436.52
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 $213.80 / $263.03 / $302.00	Professional		$213.80	$263.03	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $407.38	Facility		$181.97	$316.23	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $316.23	Professional		$134.90	$234.42	$316.23
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 $134.90 / $169.82 / $251.19	Professional		$134.90	$169.82	$251.19