Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.55 / $884.73 / $884.73	Professional		$648.55	$884.73	$884.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $450.00 / $450.00	Professional		$97.68	$450.00	$450.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $213.46 / $1,323.12	Professional		$113.84	$213.46	$1,323.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.52 / $648.55 / $1,076.85	Facility		$389.52	$648.55	$1,076.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $450.00 / $450.00	Professional		$97.68	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $598.94 / $739.73	Professional		$439.00	$598.94	$739.73