Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $436.52 / $457.09	Facility		$204.17	$436.52	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $912.01	Professional		$95.50	$128.82	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $194.98	Professional		$123.03	$151.36	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $295.12	Professional		$213.80	$213.80	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $407.38	Facility		$91.20	$177.83	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $199.53	Professional		$97.72	$154.88	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $81.28	Professional		$57.54	$57.54	$81.28