Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.34 / $142.34 / $142.34	Facility		$142.34	$142.34	$142.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $218.59 / $1,106.90	Professional		$142.34	$218.59	$1,106.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $225.30 / $225.30	Professional		$164.47	$225.30	$225.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.21 / $290.27 / $435.40	Professional		$232.21	$290.27	$435.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $92.67 / $225.30	Facility		$92.67	$92.67	$225.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $225.30 / $352.56	Professional		$164.47	$225.30	$352.56
United Facility/Professional Facility Modifier Low / Median / High Price $326.08 / $326.08 / $383.64	Facility		$326.08	$326.08	$383.64
United Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $143.54 / $216.23	Professional		$130.34	$143.54	$216.23