Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.18 / $676.36 / $1,352.73	Facility		$338.18	$676.36	$1,352.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $541.09 / $541.09	Professional		$338.18	$541.09	$541.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.08 / $293.08 / $293.08	Facility		$293.08	$293.08	$293.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $698.91 / $734.98 / $734.98	Professional		$698.91	$734.98	$734.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.08 / $450.91 / $568.15	Facility		$293.08	$450.91	$568.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.71 / $545.60 / $626.76	Professional		$475.71	$545.60	$626.76
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $189.38 / $270.55	Professional		$189.38	$189.38	$270.55