Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.81 / $238.81 / $238.81	Facility		$238.81	$238.81	$238.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.93 / $326.00 / $970.00	Professional		$201.93	$326.00	$970.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $244.07	Professional		$178.17	$244.07	$244.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.32 / $432.91 / $649.36	Professional		$346.32	$432.91	$649.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $108.28 / $325.36	Facility		$108.28	$108.28	$325.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $484.56	Professional		$178.17	$244.07	$484.56
United Facility/Professional Facility Modifier Low / Median / High Price $381.02 / $381.02 / $448.26	Facility		$381.02	$381.02	$448.26
United Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $167.72 / $252.71	Professional		$151.60	$167.72	$252.71