Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.49 / $236.49 / $236.49	Facility		$236.49	$236.49	$236.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.49 / $363.18 / $1,619.24	Professional		$236.49	$363.18	$1,619.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $295.70 / $295.70	Professional		$215.87	$295.70	$295.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $385.82 / $482.28 / $723.42	Professional		$385.82	$482.28	$723.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $135.56 / $362.42	Facility		$135.56	$135.56	$362.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $295.70 / $565.17	Professional		$215.87	$295.70	$565.17
United Facility/Professional Facility Modifier Low / Median / High Price $161.79 / $208.12 / $209.99	Facility		$161.79	$208.12	$209.99
United Facility/Professional Professional Modifier Low / Median / High Price $190.66 / $209.99 / $316.31	Professional		$190.66	$209.99	$316.31