Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $1,445.44	Professional		$151.36	$239.88	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $275.42	Professional		$239.88	$239.88	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $575.44	Professional		$38.90	$75.86	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $173.78 / $251.19	Facility		$107.15	$173.78	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $275.42	Professional		$104.71	$239.88	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $147.91 / $263.03	Facility		$14.79	$147.91	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $245.47	Professional		$128.82	$165.96	$245.47