Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.34 / $683.34 / $683.34	Facility		$683.34	$683.34	$683.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $597.02 / $683.34	Professional		$597.02	$597.02	$683.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Facility		$611.41	$611.41	$611.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.41 / $611.41 / $719.30	Facility		$611.41	$611.41	$719.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $683.34	Professional		$683.34	$683.34	$683.34