Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $323.59	Professional		$107.15	$190.55	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $426.58	Professional		$229.09	$229.09	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $416.87	Professional		$223.87	$281.84	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $309.03	Facility		$93.33	$177.83	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $389.05	Professional		$208.93	$229.09	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $234.42 / $524.81	Facility		$165.96	$234.42	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $331.13	Professional		$199.53	$208.93	$331.13