Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.12 / $237.12 / $237.12	Facility		$237.12	$237.12	$237.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $364.14 / $1,769.11	Professional		$237.12	$364.14	$1,769.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $352.55	Professional		$257.36	$352.55	$352.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $386.84 / $483.56 / $725.34	Professional		$386.84	$483.56	$725.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $148.11 / $363.39	Facility		$148.11	$148.11	$363.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $641.97	Professional		$257.36	$352.55	$641.97
United Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $229.42 / $345.60	Professional		$208.32	$229.42	$345.60