Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.43 / $159.43 / $159.43	Facility		$159.43	$159.43	$159.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $217.63 / $841.20	Professional		$159.43	$217.63	$841.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $170.54	Professional		$124.49	$170.54	$170.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.20 / $289.00 / $433.50	Professional		$231.20	$289.00	$433.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $217.20	Facility		$87.90	$87.90	$217.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $338.68	Professional		$124.49	$170.54	$338.68
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $149.40 / $208.37	Professional		$125.89	$149.40	$208.37