Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,071.52	Professional		$524.81	$645.65	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $134.90	Professional		$77.62	$134.90	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $154.88 / $1,202.26	Professional		$66.07	$154.88	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $524.81 / $870.96	Facility		$69.18	$524.81	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $309.03	Professional		$77.62	$134.90	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $380.19 / $758.58	Facility		$43.65	$380.19	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $630.96	Professional		$380.19	$478.63	$630.96