Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.90 / $1,558.28 / $1,558.28	Facility		$368.90	$1,558.28	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.90 / $700.00 / $700.00	Professional		$368.90	$700.00	$700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.21 / $608.21 / $608.21	Facility		$608.21	$608.21	$608.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.55 / $714.13 / $1,048.52	Professional		$379.55	$714.13	$1,048.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $166.93 / $442.18	Professional		$32.34	$166.93	$442.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.14 / $707.83 / $1,043.01	Facility		$340.14	$707.83	$1,043.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $495.34 / $776.23 / $1,055.67	Professional		$495.34	$776.23	$1,055.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,182.67 / $1,182.67 / $1,182.67	Facility		$1,182.67	$1,182.67	$1,182.67
United Facility/Professional Professional Modifier Low / Median / High Price $383.76 / $635.82 / $1,108.28	Professional		$383.76	$635.82	$1,108.28