Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.56 / $1,091.20 / $1,091.20	Professional		$814.56	$1,091.20	$1,091.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $124.05 / $124.05	Professional		$124.05	$124.05	$124.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $263.26 / $1,632.24	Professional		$102.36	$263.26	$1,632.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.56 / $860.66 / $1,352.47	Facility		$480.56	$860.66	$1,352.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $124.05 / $124.05	Professional		$124.05	$124.05	$124.05
United Facility/Professional Professional Modifier Low / Median / High Price $541.59 / $738.61 / $912.85	Professional		$541.59	$738.61	$912.85