Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $251.69	Facility		$251.69	$251.69	$251.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $343.57 / $1,712.79	Professional		$251.69	$343.57	$1,712.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $335.84	Facility		$335.84	$335.84	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $637.99	Professional		$245.16	$245.16	$637.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $364.99 / $456.24 / $684.36	Professional		$364.99	$456.24	$684.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $143.40 / $342.85	Facility		$143.40	$143.40	$342.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $335.84 / $695.66	Professional		$245.16	$335.84	$695.66
United Facility/Professional Professional Modifier Low / Median / High Price $205.37 / $254.26 / $334.67	Professional		$205.37	$254.26	$334.67