Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.48 / $738.39 / $738.39	Professional		$587.48	$738.39	$738.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Facility		$360.90	$360.90	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Professional		$360.90	$360.90	$360.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $217.86 / $1,618.77	Professional		$145.24	$217.86	$1,618.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.33 / $620.74 / $975.45	Facility		$474.33	$620.74	$975.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Professional		$360.90	$360.90	$360.90
United Facility/Professional Professional Modifier Low / Median / High Price $627.89 / $726.27 / $1,111.21	Professional		$627.89	$726.27	$1,111.21