Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.62 / $1,459.62 / $1,459.62	Facility		$1,459.62	$1,459.62	$1,459.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.91 / $364.91 / $364.91	Professional		$364.91	$364.91	$364.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.25 / $316.25 / $316.25	Facility		$316.25	$316.25	$316.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $754.14 / $793.06 / $793.06	Professional		$754.14	$793.06	$793.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.25 / $316.25 / $613.04	Facility		$316.25	$316.25	$613.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.29 / $513.29 / $583.85	Professional		$513.29	$513.29	$583.85
United Facility/Professional Facility Modifier Low / Median / High Price $437.89 / $437.89 / $437.89	Facility		$437.89	$437.89	$437.89
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $204.35 / $291.92	Professional		$204.35	$204.35	$291.92