Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.53 / $193.53 / $193.53	Facility		$193.53	$193.53	$193.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $297.20 / $973.47	Professional		$134.96	$297.20	$973.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $218.27	Facility		$218.27	$218.27	$218.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $218.27	Professional		$159.34	$218.27	$218.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $315.74 / $394.68 / $592.02	Professional		$315.74	$394.68	$592.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $108.67 / $296.58	Facility		$108.67	$108.67	$296.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $428.41	Professional		$159.34	$218.27	$428.41
United Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $168.32 / $253.56	Professional		$152.13	$168.32	$253.56