Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.70 / $195.70 / $195.70	Facility		$195.70	$195.70	$195.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.42 / $300.54 / $1,219.67	Professional		$190.42	$300.54	$1,219.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $205.09 / $205.09	Professional		$149.72	$205.09	$205.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $319.27 / $399.10 / $598.65	Professional		$319.27	$399.10	$598.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $102.11 / $299.94	Facility		$102.11	$102.11	$299.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $205.09 / $439.79	Professional		$149.72	$205.09	$439.79
United Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $158.16 / $238.27	Professional		$143.62	$158.16	$238.27