Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $222.61 / $445.23	Facility		$111.31	$222.61	$445.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $178.09 / $954.28	Professional		$111.31	$178.09	$954.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $96.47 / $96.47	Facility		$96.47	$96.47	$96.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $170.57 / $251.57	Professional		$80.25	$170.57	$251.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $81.63 / $81.63	Professional		$81.63	$81.63	$81.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $178.09 / $290.36	Facility		$135.38	$178.09	$290.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $148.41 / $251.57	Professional		$148.41	$148.41	$251.57
United Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $133.57 / $133.57	Facility		$133.57	$133.57	$133.57
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $88.28 / $91.02	Professional		$62.33	$88.28	$91.02