Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Facility		$724.44	$724.44	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $363.08	Professional		$309.03	$316.23	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $616.60	Facility		$323.59	$323.59	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $346.74 / $478.63	Facility		$309.03	$346.74	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $398.11	Professional		$323.59	$323.59	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59