Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.60 / $343.60 / $343.60	Facility		$343.60	$343.60	$343.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.60 / $459.65 / $459.65	Professional		$343.60	$459.65	$459.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $316.74	Facility		$316.74	$316.74	$316.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $316.74 / $316.74	Professional		$52.19	$316.74	$316.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $106.44 / $796.80	Professional		$56.76	$106.44	$796.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.51 / $388.98 / $570.50	Facility		$273.51	$388.98	$570.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $316.74 / $316.74	Professional		$52.19	$316.74	$316.74
United Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $289.79 / $519.36	Professional		$265.26	$289.79	$519.36