Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.39 / $1,068.39 / $1,068.39	Facility		$1,068.39	$1,068.39	$1,068.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $267.10 / $267.10	Professional		$267.10	$267.10	$267.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.48 / $231.48 / $231.48	Facility		$231.48	$231.48	$231.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $552.00 / $580.49 / $580.49	Professional		$552.00	$580.49	$580.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.48 / $231.48 / $356.13	Facility		$231.48	$231.48	$356.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.72 / $427.36 / $495.02	Professional		$375.72	$427.36	$495.02
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $149.57 / $213.68	Professional		$149.57	$149.57	$213.68