Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.01 / $286.70 / $286.70	Professional		$214.01	$286.70	$286.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $332.93	Facility		$332.93	$332.93	$332.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $332.93 / $332.93	Professional		$35.75	$332.93	$332.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.55 / $66.00 / $485.08	Professional		$34.55	$66.00	$485.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $254.97 / $355.34	Facility		$172.10	$254.97	$355.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $332.93 / $332.93	Professional		$35.75	$332.93	$332.93
United Facility/Professional Professional Modifier Low / Median / High Price $204.56 / $246.49 / $401.57	Professional		$204.56	$246.49	$401.57