Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.80 / $498.80 / $1,050.47	Facility		$498.80	$498.80	$1,050.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.80 / $840.38 / $4,008.92	Professional		$498.80	$840.38	$4,008.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.94 / $578.94 / $578.94	Facility		$578.94	$578.94	$578.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.88 / $1,028.31 / $1,250.23	Professional		$316.88	$1,028.31	$1,250.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $106.63 / $868.79	Professional		$32.34	$106.63	$868.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.51 / $411.99 / $615.96	Facility		$204.51	$411.99	$615.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $505.93 / $1,028.31 / $1,250.23	Professional		$505.93	$1,028.31	$1,250.23
United Facility/Professional Professional Modifier Low / Median / High Price $585.50 / $870.21 / $1,576.33	Professional		$585.50	$870.21	$1,576.33