Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $202.08	Facility		$202.08	$202.08	$202.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.08 / $275.85 / $1,056.93	Professional		$202.08	$275.85	$1,056.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $228.90 / $228.90	Professional		$194.57	$228.90	$228.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.05 / $366.32 / $549.48	Professional		$293.05	$366.32	$549.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $117.98 / $275.29	Facility		$117.98	$117.98	$275.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $228.90 / $511.38	Professional		$194.57	$228.90	$511.38
United Facility/Professional Professional Modifier Low / Median / High Price $168.97 / $182.75 / $275.29	Professional		$168.97	$182.75	$275.29