Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.44 / $1,099.08 / $1,099.08	Professional		$820.44	$1,099.08	$1,099.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $124.95 / $124.95	Professional		$124.95	$124.95	$124.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $265.18 / $1,643.88	Professional		$141.43	$265.18	$1,643.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $483.89 / $866.88 / $1,362.24	Facility		$483.89	$866.88	$1,362.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $124.95 / $477.48	Professional		$124.95	$124.95	$477.48
United Facility/Professional Professional Modifier Low / Median / High Price $545.34 / $744.02 / $918.98	Professional		$545.34	$744.02	$918.98