Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $368.46 / $460.58	Facility		$368.46	$368.46	$460.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $368.46 / $379.59	Professional		$368.46	$368.46	$379.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,412.07 / $7,412.07 / $7,412.07	Facility		$7,412.07	$7,412.07	$7,412.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $64.06 / $64.06	Professional		$64.06	$64.06	$64.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $85.00 / $1,500.00	Professional		$45.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.19 / $313.19 / $7,412.07	Facility		$313.19	$313.19	$7,412.07
United Facility/Professional Facility Modifier Low / Median / High Price $15,088.55 / $15,088.55 / $33,434.86	Facility		$15,088.55	$15,088.55	$33,434.86