Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $462.00 / $924.00	Facility		$231.00	$462.00	$924.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $369.60 / $369.60	Professional		$231.00	$369.60	$369.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $200.20 / $200.20	Facility		$200.20	$200.20	$200.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $383.55 / $527.49	Professional		$275.95	$383.55	$527.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $477.40 / $502.04 / $502.04	Professional		$477.40	$502.04	$502.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $308.00 / $388.08	Facility		$200.20	$308.00	$388.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.94 / $372.68 / $454.58	Professional		$324.94	$372.68	$454.58
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $129.36 / $184.80	Professional		$129.36	$129.36	$184.80