Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.43 / $896.86 / $1,793.73	Facility		$448.43	$896.86	$1,793.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $717.49 / $717.49	Professional		$448.43	$717.49	$717.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.64 / $388.64 / $388.64	Facility		$388.64	$388.64	$388.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $926.76 / $974.59 / $974.59	Professional		$926.76	$974.59	$974.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $388.64 / $597.91 / $753.37	Facility		$388.64	$597.91	$753.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.79 / $723.47 / $831.09	Professional		$630.79	$723.47	$831.09
United Facility/Professional Facility Modifier Low / Median / High Price $538.12 / $538.12 / $538.12	Facility		$538.12	$538.12	$538.12
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $251.12 / $358.75	Professional		$251.12	$251.12	$358.75