Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.80 / $134.80 / $134.80	Facility		$134.80	$134.80	$134.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $207.02 / $878.12	Professional		$134.80	$207.02	$878.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $190.78	Professional		$139.27	$190.78	$190.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.92 / $274.89 / $412.35	Professional		$219.92	$274.89	$412.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $84.01 / $206.60	Facility		$84.01	$84.01	$206.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $305.68	Professional		$139.27	$190.78	$305.68
United Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $130.13 / $196.02	Professional		$118.16	$130.13	$196.02