Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $1,398.51 / $1,398.51	Facility		$349.63	$1,398.51	$1,398.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.63 / $349.63 / $349.63	Professional		$349.63	$349.63	$349.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.01 / $303.01 / $303.01	Facility		$303.01	$303.01	$303.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $722.56 / $759.86 / $759.86	Professional		$722.56	$759.86	$759.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.01 / $303.01 / $587.37	Facility		$303.01	$303.01	$587.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.81 / $491.81 / $559.40	Professional		$491.81	$491.81	$559.40
United Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $419.55 / $699.26	Facility		$279.70	$419.55	$699.26
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $279.70	Professional		$195.79	$195.79	$279.70