Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $1,584.89	Facility		$1,445.44	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $363.08 / $549.54	Professional		$154.88	$363.08	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,047.13	Professional		$741.31	$741.31	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $1,412.54	Facility		$263.03	$575.44	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $524.81 / $691.83	Professional		$218.78	$524.81	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $123.03	Professional		$87.10	$87.10	$123.03