Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $452.03 / $904.05	Facility		$226.01	$452.03	$904.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $361.62 / $1,937.68	Professional		$226.01	$361.62	$1,937.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $195.88 / $195.88	Facility		$195.88	$195.88	$195.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.07 / $270.07 / $270.07	Professional		$270.07	$270.07	$270.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $406.82 / $467.09 / $491.20	Professional		$406.82	$467.09	$491.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $301.35 / $379.70	Facility		$195.88	$301.35	$379.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.92 / $364.63 / $418.88	Professional		$317.92	$364.63	$418.88
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $180.81	Professional		$126.57	$126.57	$180.81