Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.74 / $128.74 / $128.74	Facility		$128.74	$128.74	$128.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $176.28 / $1,055.01	Professional		$128.74	$176.28	$1,055.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $349.27	Professional		$149.69	$149.69	$349.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $241.09	Professional		$32.34	$32.34	$241.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.06 / $183.06 / $183.06	Facility		$183.06	$183.06	$183.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
United Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $245.86 / $383.55	Professional		$191.37	$245.86	$383.55