Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.53 / $567.37 / $2,607.94	Professional		$423.53	$567.37	$2,607.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $581.42	Facility		$581.42	$581.42	$581.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $581.42 / $705.09	Professional		$581.42	$581.42	$705.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $127.39 / $1,107.68	Professional		$75.00	$127.39	$1,107.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $510.12 / $711.21	Facility		$311.13	$510.12	$711.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $581.42 / $705.09	Professional		$581.42	$581.42	$705.09
United Facility/Professional Professional Modifier Low / Median / High Price $408.46 / $449.40 / $725.96	Professional		$408.46	$449.40	$725.96