Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.12 / $162.12 / $162.12	Facility		$162.12	$162.12	$162.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $248.97 / $1,112.55	Professional		$162.12	$248.97	$1,112.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $180.71	Professional		$131.91	$180.71	$180.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.49 / $330.62 / $495.93	Professional		$264.49	$330.62	$495.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $93.15 / $248.46	Facility		$93.15	$93.15	$248.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $362.15	Professional		$131.91	$180.71	$362.15
United Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $144.28 / $217.34	Professional		$133.40	$144.28	$217.34