Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.76 / $161.76 / $161.76	Facility		$161.76	$161.76	$161.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $248.42 / $1,073.20	Professional		$161.76	$248.42	$1,073.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $174.32	Professional		$127.25	$174.32	$174.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.90 / $329.88 / $494.82	Professional		$263.90	$329.88	$494.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $247.91	Facility		$89.85	$89.85	$247.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $345.32	Professional		$127.25	$174.32	$345.32
United Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $139.18 / $209.65	Professional		$126.37	$139.18	$209.65