Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $181.97 / $181.97	Facility		$173.78	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $331.13	Professional		$134.90	$162.18	$331.13
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 $194.98 / $269.15 / $338.84	Professional		$194.98	$269.15	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $416.87	Facility		$112.20	$162.18	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $338.84	Professional		$134.90	$263.03	$338.84
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 $125.89 / $144.54 / $316.23	Professional		$125.89	$144.54	$316.23