Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.40 / $201.40 / $201.40	Facility		$201.40	$201.40	$201.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.40 / $274.93 / $1,404.52	Professional		$201.40	$274.93	$1,404.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $274.64	Facility		$274.64	$274.64	$274.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $274.64 / $274.64	Professional		$200.49	$274.64	$274.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.08 / $365.10 / $547.65	Professional		$292.08	$365.10	$547.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $117.59 / $274.64	Facility		$117.59	$117.59	$274.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $274.64 / $443.20	Professional		$200.49	$274.64	$443.20
United Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $208.51 / $280.68	Professional		$168.41	$208.51	$280.68