Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.56 / $347.56 / $347.56	Facility		$347.56	$347.56	$347.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $303.66 / $347.56	Professional		$303.66	$303.66	$347.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Facility		$310.97	$310.97	$310.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $85.00 / $1,500.00	Professional		$49.36	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $365.85	Facility		$310.97	$310.97	$365.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
United Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $304.88	Professional		$304.88	$304.88	$304.88