Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.27 / $158.27 / $342.60	Facility		$158.27	$158.27	$342.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $182.70 / $281.42	Professional		$158.27	$182.70	$281.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $188.27 / $188.27	Facility		$188.27	$188.27	$188.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $239.23 / $318.07	Professional		$164.12	$239.23	$318.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.01	Professional		$32.34	$32.34	$232.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.34 / $222.14 / $329.18	Facility		$142.34	$222.14	$329.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $265.61 / $470.81	Professional		$179.66	$265.61	$470.81
United Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $259.20 / $362.11	Professional		$188.70	$259.20	$362.11