Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.66 / $220.66 / $441.15	Facility		$220.66	$220.66	$441.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.66 / $352.92 / $1,826.23	Professional		$220.66	$352.92	$1,826.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.54 / $582.54 / $582.54	Facility		$582.54	$582.54	$582.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.18 / $472.20 / $682.63	Professional		$318.18	$472.20	$682.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $71.33 / $409.54	Professional		$32.34	$71.33	$409.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.40 / $311.04 / $388.82	Facility		$214.40	$311.04	$388.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.49 / $504.17 / $682.63	Professional		$284.49	$504.17	$682.63
United Facility/Professional Professional Modifier Low / Median / High Price $250.60 / $300.93 / $620.71	Professional		$250.60	$300.93	$620.71