Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $426.58	Professional		$190.55	$229.09	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $645.65	Professional		$223.87	$223.87	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $724.44	Professional		$389.05	$478.63	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $354.81 / $524.81	Facility		$123.03	$354.81	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $575.44	Professional		$223.87	$223.87	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $288.40 / $524.81	Facility		$147.91	$288.40	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $288.40	Professional		$177.83	$218.78	$288.40