Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $702.00 / $1,404.00	Facility		$351.00	$702.00	$1,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $561.60 / $3,009.24	Professional		$351.00	$561.60	$3,009.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.20 / $304.20 / $304.20	Facility		$304.20	$304.20	$304.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.22 / $564.25 / $776.00	Professional		$419.22	$564.25	$776.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $631.79 / $725.40 / $762.84	Professional		$631.79	$725.40	$762.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.20 / $468.00 / $589.67	Facility		$304.20	$468.00	$589.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $566.28 / $673.92	Professional		$480.66	$566.28	$673.92
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $196.56 / $280.80	Professional		$196.56	$196.56	$280.80