Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.12 / $312.12 / $621.15	Facility		$312.12	$312.12	$621.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.12 / $496.92 / $2,663.20	Professional		$312.12	$496.92	$2,663.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.97 / $896.97 / $896.97	Facility		$896.97	$896.97	$896.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $567.15 / $765.54	Professional		$393.12	$567.15	$765.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.41 / $574.69	Professional		$32.34	$54.41	$574.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $381.23 / $477.58	Facility		$254.00	$381.23	$477.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.58 / $627.91 / $765.54	Professional		$357.58	$627.91	$765.54
United Facility/Professional Professional Modifier Low / Median / High Price $309.86 / $393.27 / $902.21	Professional		$309.86	$393.27	$902.21