Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.39 / $169.39 / $169.39	Facility		$169.39	$169.39	$169.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $260.13 / $260.13	Professional		$134.13	$260.13	$260.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $192.25	Professional		$140.34	$192.25	$192.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.36 / $345.45 / $518.17	Professional		$276.36	$345.45	$518.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $104.04 / $259.61	Facility		$104.04	$104.04	$259.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $404.82	Professional		$140.34	$192.25	$404.82
United Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $153.49 / $231.21	Professional		$141.91	$153.49	$231.21