Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $257.04	Facility		$245.47	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $478.63	Professional		$162.18	$218.78	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $426.58	Professional		$213.80	$302.00	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $467.74	Facility		$190.55	$263.03	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $426.58	Professional		$158.49	$288.40	$426.58
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 $165.96 / $177.83 / $354.81	Professional		$165.96	$177.83	$354.81