Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.07 / $223.07 / $223.07	Facility		$223.07	$223.07	$223.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.07 / $304.51 / $1,166.68	Professional		$223.07	$304.51	$1,166.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $252.68 / $252.68	Professional		$194.10	$252.68	$252.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.75 / $257.75 / $257.75	Professional		$257.75	$257.75	$257.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $130.22 / $303.88	Facility		$130.22	$130.22	$303.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $252.68 / $473.87	Professional		$194.10	$252.68	$473.87
United Facility/Professional Professional Modifier Low / Median / High Price $186.52 / $230.93 / $308.70	Professional		$186.52	$230.93	$308.70