Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.97 / $997.98 / $997.98	Professional		$744.97	$997.98	$997.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $902.06	Facility		$902.06	$902.06	$902.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $902.06 / $902.06	Professional		$127.42	$902.06	$902.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $243.18 / $1,873.41	Professional		$93.42	$243.18	$1,873.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.16 / $818.09 / $1,236.93	Facility		$515.16	$818.09	$1,236.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $902.06 / $902.06	Professional		$127.42	$902.06	$902.06
United Facility/Professional Facility Modifier Low / Median / High Price $123.52 / $939.36 / $1,252.48	Facility		$123.52	$939.36	$1,252.48
United Facility/Professional Professional Modifier Low / Median / High Price $676.32 / $796.74 / $1,202.04	Professional		$676.32	$796.74	$1,202.04