Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $512.86 / $512.86	Facility		$234.42	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $194.98	Professional		$109.65	$147.91	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $338.84	Professional		$245.47	$245.47	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $199.53 / $467.74	Facility		$104.71	$199.53	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $173.78	Professional		$165.96	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $93.33	Professional		$66.07	$66.07	$93.33