Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $489.78 / $489.78	Facility		$223.87	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $181.97	Professional		$104.71	$120.23	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Professional		$234.42	$234.42	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $446.68	Facility		$100.00	$194.98	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $213.80	Professional		$158.49	$165.96	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $89.13	Professional		$63.10	$63.10	$89.13