Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.32 / $1,116.33 / $1,116.33	Professional		$833.32	$1,116.33	$1,116.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $860.04	Facility		$860.04	$860.04	$860.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $860.04 / $860.04	Professional		$126.91	$860.04	$860.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.64 / $269.33 / $1,669.80	Professional		$143.64	$269.33	$1,669.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.54 / $860.04 / $1,383.62	Facility		$491.54	$860.04	$1,383.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $860.04 / $860.04	Professional		$126.91	$860.04	$860.04
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $755.72 / $933.76	Professional		$553.94	$755.72	$933.76