Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $484.44 / $968.88	Facility		$242.22	$484.44	$968.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $387.55 / $2,076.63	Professional		$242.22	$387.55	$2,076.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $209.92 / $209.92	Facility		$209.92	$209.92	$209.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.35 / $463.59 / $606.73	Professional		$203.35	$463.59	$606.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $177.63 / $177.63	Professional		$177.63	$177.63	$177.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $306.81 / $443.93	Facility		$171.17	$306.81	$443.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $322.95 / $482.88	Professional		$322.95	$322.95	$482.88
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $186.45 / $193.78	Professional		$135.63	$186.45	$193.78