Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $478.63	Professional		$269.15	$338.84	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $602.56	Professional		$323.59	$446.68	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $691.83	Facility		$323.59	$407.38	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $758.58	Professional		$331.13	$467.74	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $645.65	Professional		$323.59	$457.09	$645.65