Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.69 / $466.69 / $994.36	Facility		$466.69	$466.69	$994.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.69 / $795.49 / $3,567.08	Professional		$466.69	$795.49	$3,567.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.23 / $526.23 / $526.23	Facility		$526.23	$526.23	$526.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.98 / $711.00 / $1,101.45	Professional		$264.98	$711.00	$1,101.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $131.51 / $787.40	Professional		$32.34	$131.51	$787.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $329.01 / $526.23	Facility		$204.52	$329.01	$526.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $711.00 / $1,101.45	Professional		$302.14	$711.00	$1,101.45
United Facility/Professional Professional Modifier Low / Median / High Price $415.43 / $761.64 / $1,364.34	Professional		$415.43	$761.64	$1,364.34