Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.41 / $242.83 / $485.64	Facility		$121.41	$242.83	$485.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $194.26 / $1,040.89	Professional		$121.41	$194.26	$1,040.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.22 / $105.22 / $105.22	Facility		$105.22	$105.22	$105.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $133.68 / $232.31	Professional		$42.70	$133.68	$232.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $89.03 / $89.03	Professional		$89.03	$89.03	$89.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $135.66 / $178.07	Facility		$62.66	$135.66	$178.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $161.88 / $161.88	Professional		$76.53	$161.88	$161.88
United Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $44.18 / $97.13	Professional		$41.58	$44.18	$97.13