Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $259.75 / $519.51	Facility		$129.88	$259.75	$519.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $207.80 / $1,113.48	Professional		$129.88	$207.80	$1,113.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $112.56 / $112.56	Facility		$112.56	$112.56	$112.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $228.30 / $369.78	Professional		$155.04	$228.30	$369.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.41 / $282.27 / $282.27	Professional		$268.41	$282.27	$282.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.51 / $228.78 / $291.17	Facility		$178.51	$228.78	$291.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.15 / $219.06 / $324.23	Professional		$199.15	$219.06	$324.23
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $125.69 / $277.07	Professional		$103.90	$125.69	$277.07