Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.21 / $248.41 / $496.83	Facility		$124.21	$248.41	$496.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $198.73 / $1,064.86	Professional		$124.21	$198.73	$1,064.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.65 / $107.65 / $107.65	Facility		$107.65	$107.65	$107.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $190.39 / $272.77	Professional		$86.95	$190.39	$272.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $91.09 / $91.09	Professional		$91.09	$91.09	$91.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $187.48 / $262.47	Facility		$51.04	$187.48	$262.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $165.61 / $272.77	Professional		$142.57	$165.61	$272.77
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $81.26 / $99.37	Professional		$69.56	$81.26	$99.37