Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $284.26 / $568.53	Facility		$142.13	$284.26	$568.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $227.41 / $1,218.55	Professional		$142.13	$227.41	$1,218.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.18 / $123.18 / $123.18	Facility		$123.18	$123.18	$123.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $98.16 / $272.06	Professional		$32.88	$98.16	$272.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $104.23 / $104.23	Professional		$104.23	$104.23	$104.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $102.27 / $208.46	Facility		$73.05	$102.27	$208.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $134.80 / $189.51	Professional		$55.55	$134.80	$189.51
United Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $32.06 / $113.71	Professional		$30.19	$32.06	$113.71