Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $524.81	Professional		$251.19	$309.03	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $891.25	Professional		$275.42	$275.42	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $912.01	Professional		$478.63	$602.56	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $426.58 / $630.96	Facility		$173.78	$426.58	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $707.95	Professional		$275.42	$275.42	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $724.44	Facility		$204.17	$295.12	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $407.38	Professional		$245.47	$269.15	$407.38