Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.13 / $1,026.48 / $1,026.48	Facility		$175.13	$1,026.48	$1,026.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $241.06 / $313.57	Professional		$175.13	$241.06	$313.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.59 / $425.59 / $425.59	Facility		$425.59	$425.59	$425.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $538.36	Professional		$270.00	$270.00	$538.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $91.79 / $1,000.00	Professional		$60.00	$91.79	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $241.06 / $425.59	Facility		$179.75	$241.06	$425.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $898.50	Professional		$270.00	$270.00	$898.50
United Facility/Professional Facility Modifier Low / Median / High Price $393.89 / $393.89 / $393.89	Facility		$393.89	$393.89	$393.89
United Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $155.02 / $396.28	Professional		$155.02	$155.02	$396.28