Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $912.01 / $933.25	Facility		$426.58	$912.01	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $338.84	Professional		$190.55	$229.09	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $128.82 / $407.38	Professional		$54.95	$128.82	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $316.23	Facility		$128.82	$177.83	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $263.03	Professional		$89.13	$151.36	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $257.04 / $257.04	Facility		$74.13	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $169.82	Professional		$58.88	$61.66	$169.82