Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $512.86	Professional		$234.42	$309.03	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $891.25	Professional		$239.88	$239.88	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $954.99	Professional		$512.86	$630.96	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $478.63 / $630.96	Facility		$169.82	$478.63	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $660.69	Professional		$239.88	$239.88	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $707.95	Facility		$204.17	$288.40	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $398.11	Professional		$239.88	$263.03	$398.11