Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $707.95	Professional		$371.54	$457.09	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $257.04 / $257.04	Professional		$56.23	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $1,174.90	Professional		$51.29	$109.65	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $436.52 / $660.69	Facility		$257.04	$436.52	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $218.78 / $269.15	Professional		$56.23	$218.78	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $251.19 / $501.19	Facility		$38.90	$251.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $645.65	Professional		$309.03	$338.84	$645.65