Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.56 / $175.56 / $175.56	Facility		$175.56	$175.56	$175.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $269.61 / $1,377.35	Professional		$175.56	$269.61	$1,377.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $227.07	Facility		$227.07	$227.07	$227.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $227.07 / $227.07	Professional		$165.76	$227.07	$227.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.42 / $358.03 / $537.04	Professional		$286.42	$358.03	$537.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $115.31 / $269.06	Facility		$115.31	$115.31	$269.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $227.07 / $476.61	Professional		$165.76	$227.07	$476.61
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $178.62 / $269.06	Professional		$162.18	$178.62	$269.06