Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.99 / $313.98 / $627.96	Facility		$156.99	$313.98	$627.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $251.18 / $1,345.93	Professional		$156.99	$251.18	$1,345.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.06 / $136.06 / $136.06	Facility		$136.06	$136.06	$136.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $239.73 / $300.45	Professional		$76.51	$239.73	$300.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $115.13 / $115.13	Professional		$115.13	$115.13	$115.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $198.85 / $258.13	Facility		$104.66	$198.85	$258.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $209.32 / $239.73	Professional		$140.18	$209.32	$239.73
United Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $80.94 / $125.59	Professional		$76.20	$80.94	$125.59