Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.67 / $960.06 / $960.06	Professional		$716.67	$960.06	$960.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $707.88 / $707.88	Professional		$109.53	$707.88	$707.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $231.63 / $1,435.92	Professional		$123.53	$231.63	$1,435.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.73 / $716.67 / $1,189.94	Facility		$422.73	$716.67	$1,189.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $707.88 / $707.88	Professional		$109.53	$707.88	$707.88
United Facility/Professional Professional Modifier Low / Median / High Price $519.47 / $649.83 / $802.84	Professional		$519.47	$649.83	$802.84