Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.99 / $1,404.99 / $1,404.99	Facility		$1,404.99	$1,404.99	$1,404.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $351.25 / $351.25	Professional		$351.25	$351.25	$351.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.41 / $304.41 / $304.41	Facility		$304.41	$304.41	$304.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $632.24 / $725.91 / $763.38	Professional		$632.24	$725.91	$763.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.41 / $468.33 / $590.10	Facility		$304.41	$468.33	$590.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.09 / $562.00 / $650.98	Professional		$494.09	$562.00	$650.98
United Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $196.70 / $281.00	Professional		$196.70	$196.70	$281.00