Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.58 / $290.58 / $326.80	Facility		$290.58	$290.58	$326.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.44 / $290.58 / $462.61	Professional		$261.44	$290.58	$462.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.22 / $285.04 / $462.61	Facility		$222.22	$285.04	$462.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $272.26 / $1,345.50	Professional		$33.22	$272.26	$1,345.50
United Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $298.58 / $680.96	Professional		$272.83	$298.58	$680.96