Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $2,454.71	Professional		$234.42	$371.54	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $416.87	Professional		$295.12	$295.12	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $870.96	Professional		$60.26	$107.15	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $389.05	Facility		$162.18	$263.03	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $416.87	Professional		$158.49	$295.12	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $229.09 / $398.11	Facility		$23.44	$229.09	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $380.19	Professional		$213.80	$251.19	$380.19