Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.43 / $362.85 / $725.70	Facility		$181.43	$362.85	$725.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $290.27 / $1,555.42	Professional		$181.43	$290.27	$1,555.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $157.24 / $157.24	Facility		$157.24	$157.24	$157.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $360.53 / $495.82	Professional		$216.74	$360.53	$495.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $394.30	Professional		$60.00	$60.00	$394.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $298.64 / $376.29	Facility		$157.24	$298.64	$376.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.19 / $307.20 / $427.29	Professional		$278.19	$307.20	$427.29
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $125.43 / $145.13	Professional		$101.60	$125.43	$145.13