Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.37 / $1,094.96 / $1,094.96	Professional		$817.37	$1,094.96	$1,094.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $469.00	Facility		$469.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $120.90 / $469.00	Professional		$120.90	$120.90	$469.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $264.19 / $1,637.88	Professional		$140.90	$264.19	$1,637.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $817.37 / $1,357.14	Facility		$469.00	$817.37	$1,357.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $469.00 / $469.00	Professional		$120.90	$469.00	$469.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.46 / $741.21 / $916.09	Professional		$543.46	$741.21	$916.09