Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.44 / $562.88 / $1,125.75	Facility		$281.44	$562.88	$1,125.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.44 / $450.30 / $450.30	Professional		$281.44	$450.30	$450.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.91 / $243.91 / $243.91	Facility		$243.91	$243.91	$243.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $581.64 / $611.66 / $611.66	Professional		$581.64	$611.66	$611.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.91 / $375.25 / $472.82	Facility		$243.91	$375.25	$472.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.89 / $450.30 / $521.60	Professional		$395.89	$450.30	$521.60
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $157.61 / $225.15	Professional		$157.61	$157.61	$225.15