Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,862.09 / $1,905.46	Facility		$870.96	$1,862.09	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,819.70	Professional		$407.38	$549.54	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $1,071.52	Professional		$338.84	$660.69	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,071.52	Facility		$512.86	$691.83	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $794.33 / $1,258.93	Professional		$338.84	$794.33	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $524.81	Facility		$426.58	$524.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $354.81	Professional		$245.47	$338.84	$354.81