Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $977.24 / $1,000.00	Facility		$457.09	$977.24	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $1,995.26	Professional		$204.17	$288.40	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $346.74	Professional		$275.42	$275.42	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $660.69	Professional		$467.74	$467.74	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $891.25	Facility		$199.53	$398.11	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $436.52	Professional		$275.42	$346.74	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $181.97	Professional		$128.82	$128.82	$181.97