Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $144.54	Facility		$138.04	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $263.03	Professional		$85.11	$114.82	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $234.42	Professional		$151.36	$190.55	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $93.33	Professional		$32.36	$33.11	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $239.88	Facility		$120.23	$186.21	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $234.42	Professional		$104.71	$177.83	$234.42
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 $109.65 / $120.23 / $190.55	Professional		$109.65	$120.23	$190.55