Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.34 / $225.34 / $225.34	Facility		$225.34	$225.34	$225.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.38 / $307.61 / $1,347.47	Professional		$210.38	$307.61	$1,347.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $243.19	Facility		$243.19	$243.19	$243.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $243.19 / $243.19	Professional		$177.53	$243.19	$243.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $326.79 / $408.49 / $612.73	Professional		$326.79	$408.49	$612.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.81 / $112.81 / $306.98	Facility		$112.81	$112.81	$306.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $243.19 / $478.70	Professional		$177.53	$243.19	$478.70
United Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $174.74 / $267.41	Professional		$161.57	$174.74	$267.41