Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $253.13 / $506.25	Facility		$126.56	$253.13	$506.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $202.50 / $1,085.06	Professional		$126.56	$202.50	$1,085.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.69 / $109.69 / $109.69	Facility		$109.69	$109.69	$109.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $151.31 / $191.70	Professional		$151.31	$151.31	$191.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.56 / $275.06 / $275.06	Professional		$261.56	$275.06	$275.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $109.69 / $212.63	Facility		$82.58	$109.69	$212.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $204.19 / $234.56	Professional		$151.31	$204.19	$234.56
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $101.25	Professional		$70.88	$70.88	$101.25