Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.88 / $123.88 / $247.61	Facility		$123.88	$123.88	$247.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $198.09 / $1,033.72	Professional		$123.88	$198.09	$1,033.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.69 / $339.69 / $339.69	Facility		$339.69	$339.69	$339.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.40 / $221.71 / $306.85	Professional		$155.40	$221.71	$306.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $32.61 / $235.68	Professional		$20.93	$32.61	$235.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.14 / $156.38 / $202.50	Facility		$110.14	$156.38	$202.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $245.47 / $306.85	Professional		$129.94	$245.47	$306.85
United Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $141.22 / $351.18	Professional		$122.40	$141.22	$351.18