Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $446.68	Professional		$204.17	$245.47	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $707.95	Professional		$204.17	$204.17	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $758.58	Professional		$407.38	$512.86	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $363.08 / $512.86	Facility		$131.83	$363.08	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $489.78	Professional		$204.17	$204.17	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $549.54	Facility		$154.88	$302.00	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $302.00	Professional		$186.21	$234.42	$302.00