Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.29 / $382.58 / $765.15	Facility		$191.29	$382.58	$765.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.29 / $306.06 / $1,639.97	Professional		$191.29	$306.06	$1,639.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $165.78 / $165.78	Facility		$165.78	$165.78	$165.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.52 / $228.52 / $289.60	Professional		$228.52	$228.52	$289.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $395.33 / $415.73 / $415.73	Professional		$395.33	$415.73	$415.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $260.26 / $321.36	Facility		$165.78	$260.26	$321.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.57 / $308.61 / $354.52	Professional		$274.57	$308.61	$354.52
United Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $89.10 / $153.03	Professional		$79.59	$89.10	$153.03