Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.11 / $637.11 / $637.11	Facility		$637.11	$637.11	$637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.14 / $637.11 / $1,084.08	Professional		$612.14	$637.11	$1,084.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.07 / $676.07 / $676.07	Facility		$676.07	$676.07	$676.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.49 / $1,058.49 / $1,058.49	Professional		$1,058.49	$1,058.49	$1,058.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $903.04	Professional		$50.00	$85.00	$903.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.32 / $520.32 / $676.07	Facility		$520.32	$520.32	$676.07
United Facility/Professional Professional Modifier Low / Median / High Price $701.74 / $705.28 / $1,280.11	Professional		$701.74	$705.28	$1,280.11