Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.26 / $328.23 / $328.23	Professional		$257.26	$328.23	$328.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $382.81 / $382.81	Facility		$382.81	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $382.81 / $382.81	Professional		$40.29	$382.81	$382.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $79.11 / $557.88	Professional		$42.19	$79.11	$557.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.19 / $291.24 / $427.15	Facility		$193.19	$291.24	$427.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $382.81 / $382.81	Professional		$40.29	$382.81	$382.81
United Facility/Professional Professional Modifier Low / Median / High Price $216.54 / $237.52 / $366.80	Professional		$216.54	$237.52	$366.80