Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $216.13 / $216.13	Facility		$216.13	$216.13	$216.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.13 / $295.04 / $1,104.33	Professional		$216.13	$295.04	$1,104.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $228.28	Professional		$166.64	$228.28	$228.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $313.44 / $391.80 / $587.70	Professional		$313.44	$391.80	$587.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $117.66 / $294.42	Facility		$117.66	$117.66	$294.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $459.14	Professional		$166.64	$228.28	$459.14
United Facility/Professional Professional Modifier Low / Median / High Price $168.51 / $182.26 / $274.54	Professional		$168.51	$182.26	$274.54