Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.22 / $1,202.43 / $2,404.86	Facility		$601.22	$1,202.43	$2,404.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.22 / $961.94 / $5,154.42	Professional		$601.22	$961.94	$5,154.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.04 / $521.04 / $521.04	Facility		$521.04	$521.04	$521.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $481.93 / $1,151.24	Professional		$153.63	$481.93	$1,151.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $440.89 / $440.89 / $440.89	Professional		$440.89	$440.89	$440.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.51 / $575.63 / $881.78	Facility		$193.51	$575.63	$881.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.14 / $801.62 / $801.62	Professional		$324.14	$801.62	$801.62
United Facility/Professional Professional Modifier Low / Median / High Price $190.29 / $202.13 / $480.97	Professional		$190.29	$202.13	$480.97