Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.02 / $1,322.23 / $1,322.23	Professional		$987.02	$1,322.23	$1,322.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $169.88 / $169.88	Professional		$169.88	$169.88	$169.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $319.02 / $2,456.66	Professional		$124.03	$319.02	$2,456.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $1,080.13 / $1,638.82	Facility		$675.54	$1,080.13	$1,638.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $169.88 / $169.88	Professional		$169.88	$169.88	$169.88
United Facility/Professional Professional Modifier Low / Median / High Price $886.87 / $1,057.80 / $1,576.27	Professional		$886.87	$1,057.80	$1,576.27