Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.83 / $951.47 / $951.47	Professional		$694.83	$951.47	$951.47
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 $105.06 / $469.00 / $469.00	Professional		$105.06	$469.00	$469.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.44 / $229.57 / $1,423.08	Professional		$122.44	$229.57	$1,423.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $418.95 / $694.83 / $1,153.68	Facility		$418.95	$694.83	$1,153.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $469.00 / $469.00	Professional		$105.06	$469.00	$469.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.84 / $644.20 / $795.63	Professional		$514.84	$644.20	$795.63