Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,016.93 / $1,016.93	Professional		$759.12	$1,016.93	$1,016.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $115.61 / $115.61	Professional		$115.61	$115.61	$115.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $245.35 / $1,521.12	Professional		$95.40	$245.35	$1,521.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.80 / $802.09 / $1,260.42	Facility		$447.80	$802.09	$1,260.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $115.61 / $115.61	Professional		$115.61	$115.61	$115.61
United Facility/Professional Professional Modifier Low / Median / High Price $504.71 / $688.37 / $850.45	Professional		$504.71	$688.37	$850.45