Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $150.69 / $150.69	Facility		$150.69	$150.69	$150.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $205.72 / $884.82	Professional		$146.40	$205.72	$884.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $159.21	Facility		$159.21	$159.21	$159.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $159.21 / $159.21	Professional		$116.22	$159.21	$159.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $273.18 / $409.77	Professional		$218.54	$273.18	$409.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $78.51 / $205.31	Facility		$78.51	$78.51	$205.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $159.21 / $320.14	Professional		$116.22	$159.21	$320.14
United Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $139.21 / $183.23	Professional		$112.44	$139.21	$183.23