Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.17 / $536.34 / $1,072.68	Facility		$268.17	$536.34	$1,072.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.17 / $429.07 / $2,299.11	Professional		$268.17	$429.07	$2,299.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.41 / $232.41 / $232.41	Facility		$232.41	$232.41	$232.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $513.66 / $671.85	Professional		$225.17	$513.66	$671.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.66 / $196.66 / $196.66	Professional		$196.66	$196.66	$196.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $339.68 / $491.49	Facility		$189.51	$339.68	$491.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.56 / $357.56 / $534.67	Professional		$357.56	$357.56	$534.67
United Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $206.43 / $239.57	Professional		$150.18	$206.43	$239.57