Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.88 / $178.88 / $178.88	Facility		$178.88	$178.88	$178.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $274.70 / $1,052.52	Professional		$164.32	$274.70	$1,052.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $349.01	Professional		$124.80	$124.80	$349.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $364.80 / $547.20	Professional		$291.83	$364.80	$547.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $88.12 / $274.14	Facility		$88.12	$88.12	$274.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $170.96 / $387.59	Professional		$124.80	$170.96	$387.59
United Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $136.49 / $205.61	Professional		$123.94	$136.49	$205.61