Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.08 / $426.08 / $426.08	Facility		$426.08	$426.08	$426.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.26 / $372.26 / $426.08	Professional		$372.26	$372.26	$426.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $65.45 / $1,500.00	Professional		$60.00	$65.45	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $381.23 / $381.23	Facility		$65.00	$381.23	$381.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Professional		$390.00	$390.00	$390.00