Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.32 / $539.59 / $539.59	Professional		$429.32	$539.59	$539.59
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 $359.59 / $359.59 / $359.59	Professional		$359.59	$359.59	$359.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $134.47 / $1,039.45	Professional		$89.65	$134.47	$1,039.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $453.62 / $712.83	Facility		$346.63	$453.62	$712.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Professional		$359.59	$359.59	$359.59
United Facility/Professional Professional Modifier Low / Median / High Price $458.84 / $530.74 / $812.22	Professional		$458.84	$530.74	$812.22