Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.07 / $1,140.11 / $1,140.11	Professional		$851.07	$1,140.11	$1,140.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $511.03	Facility		$511.03	$511.03	$511.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $511.03 / $511.03	Professional		$125.89	$511.03	$511.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $275.08 / $1,705.32	Professional		$106.95	$275.08	$1,705.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.07 / $851.07 / $1,413.10	Facility		$502.07	$851.07	$1,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $511.03 / $511.03	Professional		$125.89	$511.03	$511.03
United Facility/Professional Professional Modifier Low / Median / High Price $565.74 / $771.74 / $953.60	Professional		$565.74	$771.74	$953.60