Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,047.13 / $1,659.59	Professional		$489.78	$1,047.13	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $851.14 / $851.14	Professional		$125.89	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $269.15 / $2,089.30	Professional		$114.82	$269.15	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $851.14 / $1,380.38	Facility		$109.65	$851.14	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $724.44 / $851.14	Professional		$125.89	$724.44	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $588.84 / $1,202.26	Facility		$69.18	$588.84	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,000.00	Professional		$602.56	$758.58	$1,000.00