Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.74 / $206.97 / $206.97	Professional		$181.74	$206.97	$206.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $240.50	Facility		$240.50	$240.50	$240.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $240.50 / $240.50	Professional		$26.88	$240.50	$240.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $49.93 / $309.48	Professional		$26.63	$49.93	$309.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.19 / $192.02 / $301.75	Facility		$107.19	$192.02	$301.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $240.50 / $240.50	Professional		$26.88	$240.50	$240.50
United Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $164.78 / $271.94	Professional		$131.66	$164.78	$271.94