Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,230.27 / $1,230.27	Facility		$562.34	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $446.68	Professional		$263.03	$302.00	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $812.83	Professional		$575.44	$575.44	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $1,096.48	Facility		$251.19	$467.74	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $537.03	Professional		$398.11	$416.87	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $223.87	Professional		$158.49	$158.49	$223.87