Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.23 / $172.23 / $172.23	Facility		$172.23	$172.23	$172.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.23 / $264.50 / $1,619.24	Professional		$172.23	$264.50	$1,619.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $312.30 / $312.30	Professional		$227.98	$312.30	$312.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.91 / $277.39 / $416.08	Professional		$221.91	$277.39	$416.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $94.35 / $312.30	Facility		$94.35	$94.35	$312.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.70 / $312.30 / $386.44	Professional		$210.70	$312.30	$386.44
United Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $209.99 / $329.43	Professional		$197.66	$209.99	$329.43