Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.44 / $150.44 / $150.44	Facility		$150.44	$150.44	$150.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $231.04 / $1,158.59	Professional		$150.44	$231.04	$1,158.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $188.19	Professional		$137.38	$188.19	$188.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.44 / $306.80 / $460.20	Professional		$245.44	$306.80	$460.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $230.55	Facility		$97.00	$97.00	$230.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $358.04	Professional		$137.38	$188.19	$358.04
United Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $150.25 / $226.33	Professional		$136.43	$150.25	$226.33