Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.77 / $427.55 / $855.09	Facility		$213.77	$427.55	$855.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.77 / $342.04 / $1,832.74	Professional		$213.77	$342.04	$1,832.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.27 / $185.27 / $185.27	Facility		$185.27	$185.27	$185.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $171.17 / $409.39	Professional		$54.54	$171.17	$409.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $156.77 / $156.77	Professional		$156.77	$156.77	$156.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $185.27 / $313.52	Facility		$90.00	$185.27	$313.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $260.73 / $285.02	Professional		$107.48	$260.73	$285.02
United Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $62.03 / $171.02	Professional		$58.38	$62.03	$171.02