Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.43 / $614.85 / $1,229.70	Facility		$307.43	$614.85	$1,229.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.43 / $491.88 / $491.88	Professional		$307.43	$491.88	$491.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.44 / $266.44 / $266.44	Facility		$266.44	$266.44	$266.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $635.35 / $668.14 / $668.14	Professional		$635.35	$668.14	$668.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.44 / $455.45 / $573.87	Facility		$266.44	$455.45	$573.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $471.39 / $495.98 / $569.76	Professional		$471.39	$495.98	$569.76
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $191.29 / $245.94	Professional		$172.16	$191.29	$245.94