Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.17 / $775.89 / $775.89	Professional		$579.17	$775.89	$775.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $766.64	Facility		$766.64	$766.64	$766.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $85.66 / $766.64	Professional		$85.66	$85.66	$766.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $187.21 / $1,160.52	Professional		$75.00	$187.21	$1,160.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $341.60 / $611.97 / $961.66	Facility		$341.60	$611.97	$961.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $337.12 / $766.64	Professional		$85.66	$337.12	$766.64
United Facility/Professional Professional Modifier Low / Median / High Price $385.08 / $525.10 / $648.84	Professional		$385.08	$525.10	$648.84