Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.74 / $157.74 / $157.74	Facility		$157.74	$157.74	$157.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $219.73 / $1,057.25	Professional		$157.74	$219.73	$1,057.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.41 / $339.81 / $528.29	Professional		$212.41	$339.81	$528.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $268.79	Professional		$32.34	$32.34	$268.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $202.46 / $487.40	Facility		$175.89	$202.46	$487.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $340.79 / $548.19	Professional		$214.04	$340.79	$548.19
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $14,959.00	Facility		$230.00	$1,158.00	$14,959.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.08 / $398.56 / $610.55	Professional		$242.08	$398.56	$610.55