Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.72 / $294.72 / $636.54	Facility		$294.72	$294.72	$636.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.72 / $509.23 / $2,338.10	Professional		$294.72	$509.23	$2,338.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.92 / $193.92 / $193.92	Facility		$193.92	$193.92	$193.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.40 / $509.23 / $705.09	Professional		$352.40	$509.23	$705.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $198.09 / $396.73	Professional		$32.34	$198.09	$396.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.05 / $384.67 / $447.32	Facility		$302.05	$384.67	$447.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.40 / $552.71 / $705.09	Professional		$352.40	$552.71	$705.09
United Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $460.38 / $805.10	Professional		$410.22	$460.38	$805.10