Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.72 / $696.23 / $696.23	Professional		$519.72	$696.23	$696.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.90 / $687.90 / $687.90	Facility		$687.90	$687.90	$687.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $687.90 / $687.90	Professional		$76.87	$687.90	$687.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $167.97 / $1,041.48	Professional		$75.00	$167.97	$1,041.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.58 / $549.14 / $862.93	Facility		$306.58	$549.14	$862.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $687.90 / $687.90	Professional		$76.87	$687.90	$687.90
United Facility/Professional Professional Modifier Low / Median / High Price $345.58 / $471.40 / $582.48	Professional		$345.58	$471.40	$582.48