Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.78 / $145.78 / $292.95	Facility		$145.78	$145.78	$292.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $234.36 / $1,212.86	Professional		$145.78	$234.36	$1,212.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.52 / $357.52 / $357.52	Facility		$357.52	$357.52	$357.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $263.04 / $344.07	Professional		$216.07	$263.04	$344.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.72 / $278.83	Professional		$32.34	$65.72	$278.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.39 / $258.64 / $357.52	Facility		$188.39	$258.64	$357.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.70 / $291.22 / $346.84	Professional		$210.70	$291.22	$346.84
United Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $176.19 / $413.81	Professional		$166.92	$176.19	$413.81