Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Facility		$181.22	$181.22	$181.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $278.30 / $1,421.69	Professional		$181.22	$278.30	$1,421.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $230.92 / $230.92	Professional		$168.57	$230.92	$230.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $369.55 / $554.32	Professional		$295.64	$369.55	$554.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $119.03 / $277.72	Facility		$119.03	$119.03	$277.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $230.92 / $433.07	Professional		$168.57	$230.92	$433.07
United Facility/Professional Professional Modifier Low / Median / High Price $167.40 / $184.37 / $277.72	Professional		$167.40	$184.37	$277.72