Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.66 / $158.66 / $158.66	Facility		$158.66	$158.66	$158.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $243.66 / $1,244.76	Professional		$158.66	$243.66	$1,244.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $268.08	Professional		$195.70	$268.08	$268.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.17 / $473.97 / $710.95	Professional		$379.17	$473.97	$710.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $268.08	Facility		$104.21	$104.21	$268.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $379.18	Professional		$195.70	$268.08	$379.18
United Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $161.41 / $243.16	Professional		$149.24	$161.41	$243.16