Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $303.60 / $607.20	Facility		$151.80	$303.60	$607.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $242.88 / $1,301.43	Professional		$151.80	$242.88	$1,301.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $131.56 / $131.56	Facility		$131.56	$131.56	$131.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $244.12 / $335.73	Professional		$181.39	$244.12	$335.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $329.91	Professional		$60.00	$60.00	$329.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $202.40 / $255.02	Facility		$131.56	$202.40	$255.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.95 / $244.90 / $291.45	Professional		$207.95	$244.90	$291.45
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $85.01 / $121.44	Professional		$85.01	$85.01	$121.44