Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.77 / $1,137.54 / $2,275.08	Facility		$568.77	$1,137.54	$2,275.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.77 / $910.03 / $4,876.25	Professional		$568.77	$910.03	$4,876.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.93 / $492.93 / $492.93	Facility		$492.93	$492.93	$492.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.37 / $679.37 / $860.61	Professional		$679.37	$679.37	$860.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $1,175.46 / $1,236.13	Professional		$70.00	$1,175.46	$1,236.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.11 / $492.93 / $955.53	Facility		$435.11	$492.93	$955.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.11 / $959.33 / $1,092.04	Professional		$872.11	$959.33	$1,092.04
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $318.51 / $455.02	Professional		$318.51	$318.51	$455.02