Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $2,691.53	Professional		$288.40	$389.05	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $446.68	Professional		$354.81	$354.81	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $933.25	Professional		$63.10	$109.65	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $309.03 / $478.63	Facility		$169.82	$309.03	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $446.68	Professional		$169.82	$354.81	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $239.88 / $416.87	Facility		$23.99	$239.88	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $398.11	Professional		$223.87	$263.03	$398.11