Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.36 / $331.36 / $331.36	Facility		$331.36	$331.36	$331.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $303.39 / $331.36	Professional		$303.39	$303.39	$331.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Facility		$358.29	$358.29	$358.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
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 $358.29 / $358.29 / $676.80	Facility		$358.29	$358.29	$676.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
United Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $676.80 / $676.80	Professional		$676.80	$676.80	$676.80