Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,348.96 / $1,348.96	Facility		$616.60	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $489.78	Professional		$288.40	$331.13	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $891.25	Professional		$630.96	$630.96	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $575.44 / $1,202.26	Facility		$275.42	$575.44	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $588.84	Professional		$446.68	$478.63	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $245.47	Professional		$173.78	$190.55	$245.47