Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.97 / $453.93 / $907.86	Facility		$226.97	$453.93	$907.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.97 / $363.14 / $1,945.85	Professional		$226.97	$363.14	$1,945.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $196.70 / $196.70	Facility		$196.70	$196.70	$196.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $75.15 / $271.00	Professional		$56.63	$75.15	$271.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $469.06 / $493.27 / $493.27	Professional		$469.06	$493.27	$493.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $59.67 / $196.70	Facility		$54.25	$59.67	$196.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $343.67 / $420.64	Professional		$60.55	$343.67	$420.64
United Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $25.60 / $181.57	Professional		$24.10	$25.60	$181.57