Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $724.44	Professional		$281.84	$524.81	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $645.65 / $1,348.96	Professional		$64.57	$645.65	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $138.04	Professional		$60.26	$93.33	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $478.63 / $870.96	Facility		$57.54	$478.63	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $660.69 / $660.69	Professional		$74.13	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $323.59 / $616.60	Facility		$43.65	$323.59	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $660.69	Professional		$354.81	$389.05	$660.69