Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.93 / $375.93 / $375.93	Facility		$375.93	$375.93	$375.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.93 / $503.60 / $503.60	Professional		$375.93	$503.60	$503.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $370.80	Facility		$370.80	$370.80	$370.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $370.80 / $370.80	Professional		$57.24	$370.80	$370.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $112.92 / $941.04	Professional		$60.22	$112.92	$941.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.44 / $425.58 / $624.17	Facility		$321.44	$425.58	$624.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $370.80 / $370.80	Professional		$57.24	$370.80	$370.80
United Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $340.65 / $610.61	Professional		$316.58	$340.65	$610.61