Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $877.35 / $1,754.70	Facility		$438.68	$877.35	$1,754.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $701.88 / $701.88	Professional		$438.68	$701.88	$701.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $906.60 / $953.39 / $953.39	Professional		$906.60	$953.39	$953.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $736.97	Facility		$380.19	$380.19	$736.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.07 / $617.07 / $701.88	Professional		$617.07	$617.07	$701.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $350.94	Professional		$245.66	$245.66	$350.94