Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $260.00 / $260.00	Professional		$194.09	$260.00	$260.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $240.34	Facility		$240.34	$240.34	$240.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $240.34 / $240.34	Professional		$33.42	$240.34	$240.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $62.73 / $482.88	Professional		$26.65	$62.73	$482.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $212.40 / $322.26	Facility		$132.78	$212.40	$322.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $240.34 / $240.34	Professional		$33.42	$240.34	$240.34
United Facility/Professional Professional Modifier Low / Median / High Price $174.32 / $208.08 / $309.83	Professional		$174.32	$208.08	$309.83