Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $310.95 / $621.92	Facility		$155.47	$310.95	$621.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $248.77 / $248.77	Professional		$155.47	$248.77	$248.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $134.75 / $134.75	Facility		$134.75	$134.75	$134.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $258.02 / $354.84	Professional		$185.73	$258.02	$354.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $337.92 / $337.92	Professional		$321.33	$337.92	$337.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $207.31 / $261.20	Facility		$134.75	$207.31	$261.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.71 / $250.85 / $305.80	Professional		$218.71	$250.85	$305.80
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $124.39	Professional		$87.07	$87.07	$124.39