Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.98 / $427.07 / $1,864.19	Professional		$270.98	$427.07	$1,864.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $489.07	Professional		$234.00	$234.00	$489.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $104.71 / $815.14	Professional		$69.81	$104.71	$815.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $286.32 / $449.93	Facility		$188.06	$286.32	$449.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $489.07	Professional		$234.00	$234.00	$489.07
United Facility/Professional Professional Modifier Low / Median / High Price $246.89 / $291.29 / $438.81	Professional		$246.89	$291.29	$438.81