Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.84 / $443.69 / $887.37	Facility		$221.84	$443.69	$887.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $354.95 / $1,901.93	Professional		$221.84	$354.95	$1,901.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.26 / $192.26 / $192.26	Facility		$192.26	$192.26	$192.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.11 / $357.05 / $491.05	Professional		$265.11	$357.05	$491.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $482.14	Professional		$60.00	$60.00	$482.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.26 / $295.79 / $372.70	Facility		$192.26	$295.79	$372.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.16 / $357.91 / $425.94	Professional		$304.16	$357.91	$425.94
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $177.47	Professional		$124.23	$124.23	$177.47