Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.71 / $234.71 / $234.71	Facility		$234.71	$234.71	$234.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $304.04 / $351.52	Professional		$234.71	$304.04	$351.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $353.38 / $353.38	Facility		$353.38	$353.38	$353.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.91 / $425.31 / $533.72	Professional		$308.91	$425.31	$533.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $119.90 / $179.85	Professional		$60.00	$119.90	$179.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.68 / $288.70 / $399.18	Facility		$148.68	$288.70	$399.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.91 / $425.31 / $518.89	Professional		$308.91	$425.31	$518.89
United Facility/Professional Professional Modifier Low / Median / High Price $304.37 / $416.55 / $563.71	Professional		$304.37	$416.55	$563.71