Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $147.68 / $295.64	Facility		$147.68	$147.68	$295.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.68 / $236.52 / $1,157.93	Professional		$147.68	$236.52	$1,157.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.13 / $407.13 / $407.13	Facility		$407.13	$407.13	$407.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $228.47 / $337.89	Professional		$156.28	$228.47	$337.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $36.29 / $249.42	Professional		$24.00	$36.29	$249.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.33 / $152.38 / $191.25	Facility		$100.33	$152.38	$191.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $252.95 / $337.89	Professional		$134.72	$252.95	$337.89
United Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $171.79 / $394.09	Professional		$123.04	$171.79	$394.09