Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.38 / $546.38 / $1,186.49	Facility		$546.38	$546.38	$1,186.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.38 / $949.19 / $4,353.83	Professional		$546.38	$949.19	$4,353.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.43 / $284.43 / $284.43	Facility		$284.43	$284.43	$284.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.09 / $996.32 / $1,314.27	Professional		$702.09	$996.32	$1,314.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $296.66 / $740.00	Professional		$32.34	$296.66	$740.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $816.07 / $885.18	Facility		$642.04	$816.07	$885.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $702.09 / $1,055.41 / $1,314.27	Professional		$702.09	$1,055.41	$1,314.27
United Facility/Professional Professional Modifier Low / Median / High Price $799.94 / $908.66 / $1,661.36	Professional		$799.94	$908.66	$1,661.36