Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $616.60 / $630.96	Facility		$288.40	$616.60	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $1,288.25	Professional		$134.90	$181.97	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $288.40	Professional		$173.78	$223.87	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $416.87	Professional		$302.00	$302.00	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $575.44	Facility		$128.82	$245.47	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $288.40	Professional		$141.25	$229.09	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82