Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $142.72 / $142.72	Facility		$142.72	$142.72	$142.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $219.17 / $1,119.63	Professional		$142.72	$219.17	$1,119.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $181.86 / $192.72	Professional		$132.76	$181.86	$192.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.83 / $291.04 / $436.56	Professional		$232.83	$291.04	$436.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $93.74 / $218.72	Facility		$93.74	$93.74	$218.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $181.86 / $378.30	Professional		$132.76	$181.86	$378.30
United Facility/Professional Facility Modifier Low / Median / High Price $111.88 / $143.90 / $156.63	Facility		$111.88	$143.90	$156.63
United Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $145.19 / $218.72	Professional		$131.84	$145.19	$218.72