Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.79 / $347.79 / $347.79	Facility		$347.79	$347.79	$347.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.79 / $444.89 / $444.89	Professional		$347.79	$444.89	$444.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $429.00 / $429.00	Professional		$54.03	$429.00	$429.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $106.29 / $711.36	Professional		$56.68	$106.29	$711.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.89 / $404.15 / $577.46	Facility		$285.89	$404.15	$577.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $429.00 / $429.00	Professional		$54.03	$429.00	$429.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.19 / $302.87 / $543.16	Professional		$272.19	$302.87	$543.16