Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $562.34 / $575.44	Facility		$263.03	$562.34	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $1,148.15	Professional		$123.03	$162.18	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $251.19	Professional		$158.49	$194.98	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $380.19	Professional		$269.15	$269.15	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $229.09 / $512.86	Facility		$117.49	$229.09	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $251.19	Professional		$125.89	$199.53	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $104.71	Professional		$74.13	$74.13	$104.71