Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $380.19	Professional		$128.82	$162.18	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $251.19	Professional		$134.90	$173.78	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $234.42	Facility		$79.43	$147.91	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $245.47	Professional		$134.90	$181.97	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,778.28 / $1,778.28	Facility		$794.33	$1,778.28	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $245.47	Professional		$123.03	$190.55	$245.47