Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $289.88 / $579.75	Facility		$144.94	$289.88	$579.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $231.90 / $1,242.59	Professional		$144.94	$231.90	$1,242.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $233.26 / $320.79	Professional		$173.02	$233.26	$320.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $315.00	Professional		$60.00	$60.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $193.25 / $243.50	Facility		$125.61	$193.25	$243.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $233.83 / $278.27	Professional		$198.70	$233.83	$278.27
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $115.95	Professional		$81.17	$81.17	$115.95