Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.11 / $852.14 / $852.14	Professional		$636.11	$852.14	$852.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $94.09 / $359.59	Professional		$94.09	$94.09	$359.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $205.59 / $1,274.64	Professional		$109.64	$205.59	$1,274.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $636.11 / $1,056.18	Facility		$359.59	$636.11	$1,056.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $359.59 / $359.59	Professional		$94.09	$359.59	$359.59
United Facility/Professional Professional Modifier Low / Median / High Price $461.15 / $576.86 / $712.68	Professional		$461.15	$576.86	$712.68