Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.72 / $387.72 / $840.55	Facility		$387.72	$387.72	$840.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.72 / $672.44 / $3,088.02	Professional		$387.72	$672.44	$3,088.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.68 / $220.68 / $220.68	Facility		$220.68	$220.68	$220.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.54 / $701.97 / $931.07	Professional		$497.54	$701.97	$931.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $227.40 / $523.40	Professional		$32.34	$227.40	$523.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $452.90 / $576.46 / $625.84	Facility		$452.90	$576.46	$625.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.54 / $744.69 / $931.07	Professional		$497.54	$744.69	$931.07
United Facility/Professional Professional Modifier Low / Median / High Price $571.76 / $634.10 / $1,066.89	Professional		$571.76	$634.10	$1,066.89