Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.54 / $503.08 / $1,006.14	Facility		$251.54	$503.08	$1,006.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.54 / $402.46 / $2,156.48	Professional		$251.54	$402.46	$2,156.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.00 / $218.00 / $218.00	Facility		$218.00	$218.00	$218.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $300.45 / $423.13	Professional		$300.45	$300.45	$423.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $519.84 / $546.66 / $546.66	Professional		$519.84	$546.66	$546.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.00 / $461.00 / $521.70	Facility		$218.00	$461.00	$521.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.69 / $424.26 / $482.70	Professional		$385.69	$424.26	$482.70
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $192.17 / $201.23	Professional		$140.86	$192.17	$201.23