Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $260.49 / $520.98	Facility		$130.25	$260.49	$520.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $208.39 / $1,116.63	Professional		$130.25	$208.39	$1,116.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.88 / $112.88 / $112.88	Facility		$112.88	$112.88	$112.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $254.94 / $413.39	Professional		$155.66	$254.94	$413.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.17 / $283.07 / $283.07	Professional		$269.17	$283.07	$283.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.63 / $255.62 / $325.33	Facility		$228.63	$255.62	$325.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.71 / $237.63 / $362.47	Professional		$199.71	$237.63	$362.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $138.93 / $329.95	Professional		$104.20	$138.93	$329.95