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 / $1,949.84	Facility		$870.96	$1,862.09	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $3,890.45	Professional		$407.38	$549.54	$3,890.45
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 $524.81 / $741.31 / $1,023.29	Professional		$524.81	$741.31	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $1,258.93	Professional		$60.26	$60.26	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $912.01 / $1,737.80	Facility		$389.05	$912.01	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,023.29	Professional		$512.86	$776.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $354.81	Professional		$245.47	$302.00	$354.81