Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.02 / $412.02 / $412.02	Facility		$412.02	$412.02	$412.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.02 / $573.89 / $674.73	Professional		$412.02	$573.89	$674.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $643.37 / $1,132.88	Professional		$65.25	$643.37	$1,132.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $92.30 / $138.44	Professional		$53.84	$92.30	$138.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $412.02 / $684.11	Facility		$57.47	$412.02	$684.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $73.81 / $643.37	Professional		$65.25	$73.81	$643.37
United Facility/Professional Professional Modifier Low / Median / High Price $353.98 / $388.47 / $660.43	Professional		$353.98	$388.47	$660.43