Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $315.02 / $315.02	Professional		$235.16	$315.02	$315.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $327.62	Facility		$327.62	$327.62	$327.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $327.62 / $327.62	Professional		$38.27	$327.62	$327.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $71.17 / $557.80	Professional		$37.96	$71.17	$557.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.59 / $281.39 / $390.46	Facility		$197.59	$281.39	$390.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $327.62 / $327.62	Professional		$38.27	$327.62	$327.62
United Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $259.39 / $461.04	Professional		$219.54	$259.39	$461.04