Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.52 / $1,044.27 / $1,044.27	Professional		$779.52	$1,044.27	$1,044.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $799.37	Facility		$799.37	$799.37	$799.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $799.37 / $799.37	Professional		$133.31	$799.37	$799.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $254.43 / $3,286.32	Professional		$97.76	$254.43	$3,286.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $539.46 / $826.67 / $1,309.01	Facility		$539.46	$826.67	$1,309.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $799.37 / $799.37	Professional		$133.31	$799.37	$799.37
United Facility/Professional Professional Modifier Low / Median / High Price $833.76 / $1,294.24 / $2,108.61	Professional		$833.76	$1,294.24	$2,108.61