Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $812.83 / $851.14	Facility		$380.19	$812.83	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $1,698.24	Professional		$177.83	$239.88	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $288.40	Professional		$229.09	$229.09	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $316.23 / $758.58	Facility		$169.82	$316.23	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $363.08	Professional		$229.09	$288.40	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $151.36	Professional		$79.43	$89.13	$151.36