Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.60 / $869.19 / $1,738.38	Facility		$434.60	$869.19	$1,738.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.60 / $695.35 / $3,725.93	Professional		$434.60	$695.35	$3,725.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.65 / $376.65 / $376.65	Facility		$376.65	$376.65	$376.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.13 / $665.76 / $832.20	Professional		$252.13	$665.76	$832.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.70 / $318.70 / $318.70	Professional		$318.70	$318.70	$318.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $550.49 / $695.35	Facility		$259.73	$550.49	$695.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.16 / $579.46 / $598.69	Professional		$475.16	$579.46	$598.69
United Facility/Professional Professional Modifier Low / Median / High Price $243.37 / $243.37 / $347.68	Professional		$243.37	$243.37	$347.68