Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $2,089.30	Professional		$213.80	$316.23	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $331.13	Professional		$229.09	$229.09	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $562.34	Professional		$32.36	$79.43	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $407.38	Facility		$158.49	$245.47	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $331.13	Professional		$134.90	$229.09	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $223.87 / $354.81	Facility		$22.39	$223.87	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $371.54	Professional		$204.17	$229.09	$371.54