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 / $399.62 / $549.59	Professional		$216.74	$399.62	$549.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $374.95 / $394.30 / $394.30	Professional		$374.95	$394.30	$394.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.24 / $329.51 / $376.29	Facility		$157.24	$329.51	$376.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.19 / $325.62 / $473.63	Professional		$278.19	$325.62	$473.63
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $138.38 / $145.13	Professional		$101.60	$138.38	$145.13