Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $218.78 / $616.60	Facility		$141.25	$218.78	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $588.84	Professional		$77.62	$181.97	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $251.19	Professional		$104.71	$177.83	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $302.00	Professional		$181.97	$181.97	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $186.21 / $316.23	Facility		$117.49	$186.21	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $234.42	Professional		$112.20	$162.18	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $223.87	Professional		$69.18	$97.72	$223.87