Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.62 / $241.62 / $296.60	Facility		$241.62	$241.62	$296.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.43 / $241.62 / $259.33	Professional		$219.43	$241.62	$259.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $287.45 / $827.43	Facility		$287.45	$287.45	$827.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,202.06 / $1,202.06	Professional		$1,202.06	$1,202.06	$1,202.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.10 / $241.62 / $315.25	Facility		$175.10	$241.62	$315.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,202.06 / $1,202.06	Professional		$1,202.06	$1,202.06	$1,202.06
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.86 / $387.43 / $533.62	Professional		$261.86	$387.43	$533.62