Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $416.87	Professional		$181.97	$229.09	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $588.84	Professional		$181.97	$181.97	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $660.69	Professional		$354.81	$446.68	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $323.59 / $489.78	Facility		$128.82	$323.59	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $478.63	Professional		$181.97	$181.97	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $549.54	Facility		$154.88	$223.87	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $302.00	Professional		$181.97	$199.53	$302.00