Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $266.33 / $532.67	Facility		$133.16	$266.33	$532.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $213.07 / $1,141.71	Professional		$133.16	$213.07	$1,141.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.41 / $115.41 / $115.41	Facility		$115.41	$115.41	$115.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $204.02 / $255.03	Professional		$77.29	$204.02	$255.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $97.66 / $97.66	Professional		$97.66	$97.66	$97.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $168.68 / $213.07	Facility		$88.78	$168.68	$213.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $177.56 / $183.53	Professional		$145.60	$177.56	$183.53
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $74.58 / $106.54	Professional		$74.58	$74.58	$106.54