Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.74 / $121.74 / $121.74	Facility		$121.74	$121.74	$121.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $166.27 / $784.80	Professional		$121.74	$166.27	$784.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $175.73 / $231.67	Professional		$89.59	$175.73	$231.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $205.09 / $223.90	Professional		$32.34	$205.09	$223.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $117.40 / $261.02	Facility		$69.48	$117.40	$261.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $208.49 / $296.51	Professional		$134.72	$208.49	$296.51
United Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $200.19 / $263.89	Professional		$133.30	$200.19	$263.89