Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $642.27 / $642.27	Professional		$526.17	$642.27	$642.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $428.20 / $428.20	Professional		$77.83	$428.20	$428.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $154.96 / $960.72	Professional		$75.00	$154.96	$960.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.41 / $526.17 / $873.66	Facility		$310.41	$526.17	$873.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $428.20 / $428.20	Professional		$77.83	$428.20	$428.20
United Facility/Professional Professional Modifier Low / Median / High Price $349.89 / $477.25 / $589.69	Professional		$349.89	$477.25	$589.69