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 / $1,905.46	Facility		$870.96	$1,862.09	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $691.83	Professional		$407.38	$549.54	$691.83
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 $251.19 / $660.69 / $831.76	Professional		$251.19	$660.69	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $549.54 / $691.83	Facility		$257.04	$549.54	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $602.56 / $851.14	Professional		$257.04	$602.56	$851.14
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 / $245.47 / $346.74	Professional		$245.47	$245.47	$346.74