Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.57 / $358.57 / $358.57	Facility		$358.57	$358.57	$358.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.57 / $427.86 / $511.05	Professional		$358.57	$427.86	$511.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.38 / $716.70 / $1,038.73	Professional		$517.38	$716.70	$1,038.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $878.50	Professional		$50.00	$70.00	$878.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.34 / $458.12 / $538.96	Facility		$392.34	$458.12	$538.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $665.20 / $731.46	Professional		$486.90	$665.20	$731.46
United Facility/Professional Professional Modifier Low / Median / High Price $540.59 / $698.70 / $1,000.67	Professional		$540.59	$698.70	$1,000.67