Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.52 / $149.52 / $299.69	Facility		$149.52	$149.52	$299.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $239.75 / $1,252.11	Professional		$149.52	$239.75	$1,252.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.07 / $390.07 / $390.07	Facility		$390.07	$390.07	$390.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $284.13 / $385.39	Professional		$207.43	$284.13	$385.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.36 / $284.14	Professional		$32.34	$52.36	$284.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.43 / $219.03 / $301.50	Facility		$164.43	$219.03	$301.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $314.58 / $385.39	Professional		$178.88	$314.58	$385.39
United Facility/Professional Facility Modifier Low / Median / High Price $884.18 / $884.18 / $884.18	Facility		$884.18	$884.18	$884.18
United Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $180.79 / $426.47	Professional		$163.30	$180.79	$426.47