Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $1,138.57 / $2,277.15	Facility		$569.29	$1,138.57	$2,277.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $910.86 / $910.86	Professional		$569.29	$910.86	$910.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $493.38 / $493.38	Facility		$493.38	$493.38	$493.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,176.53 / $1,237.25 / $1,237.25	Professional		$1,176.53	$1,237.25	$1,237.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $493.38 / $759.05	Facility		$493.38	$493.38	$759.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.80 / $918.45 / $1,055.08	Professional		$800.80	$918.45	$1,055.08
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $455.43	Professional		$318.80	$318.80	$455.43