Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Facility		$176.45	$176.45	$176.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $234.97 / $263.02	Professional		$176.45	$234.97	$263.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $329.22 / $404.83	Professional		$233.50	$329.22	$404.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $67.60 / $1,500.00	Professional		$50.00	$67.60	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.94 / $227.95 / $267.45	Facility		$167.94	$227.95	$267.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.39 / $329.22 / $388.81	Professional		$238.39	$329.22	$388.81
United Facility/Professional Professional Modifier Low / Median / High Price $229.98 / $341.01 / $453.00	Professional		$229.98	$341.01	$453.00