Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.42 / $277.42 / $547.26	Facility		$277.42	$277.42	$547.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.42 / $437.81 / $437.81	Professional		$277.42	$437.81	$437.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.61 / $108.61 / $108.61	Facility		$108.61	$108.61	$108.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $104.27 / $134.09	Professional		$84.74	$104.27	$134.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $32.34 / $103.10	Professional		$17.92	$32.34	$103.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $98.09 / $108.61	Facility		$26.92	$98.09	$108.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.62 / $106.50 / $142.90	Professional		$79.62	$106.50	$142.90
United Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $184.27 / $639.89	Professional		$62.89	$184.27	$639.89