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 $548.23 / $548.23 / $548.23	Facility		$548.23	$548.23	$548.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.99 / $393.99 / $393.99	Professional		$393.99	$393.99	$393.99
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 / $275.27 / $548.23	Facility		$179.75	$275.27	$548.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $898.50 / $898.50 / $898.50	Professional		$898.50	$898.50	$898.50
United Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $199.74 / $485.57	Professional		$198.73	$199.74	$485.57