Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.78 / $1,281.78 / $1,281.78	Facility		$1,281.78	$1,281.78	$1,281.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $320.45 / $320.45	Professional		$320.45	$320.45	$320.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.72 / $277.72 / $277.72	Facility		$277.72	$277.72	$277.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $662.25 / $696.43 / $696.43	Professional		$662.25	$696.43	$696.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.72 / $427.26 / $538.35	Facility		$277.72	$427.26	$538.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $512.71 / $593.89	Professional		$450.76	$512.71	$593.89
United Facility/Professional Facility Modifier Low / Median / High Price $427.26 / $427.26 / $427.26	Facility		$427.26	$427.26	$427.26
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $179.45 / $256.36	Professional		$179.45	$179.45	$256.36