Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,023.29 / $1,023.29	Facility		$389.05	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $295.12	Professional		$169.82	$218.78	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $1,000.00	Professional		$50.12	$70.79	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $380.19 / $575.44	Facility		$204.17	$380.19	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $1,513.56	Facility		$691.83	$1,513.56	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $741.31	Professional		$316.23	$316.23	$741.31