Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.58 / $466.96 / $2,167.12	Professional		$348.58	$466.96	$2,167.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $461.38	Facility		$461.38	$461.38	$461.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.38 / $461.38 / $530.85	Professional		$461.38	$461.38	$530.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $112.65 / $891.30	Professional		$75.00	$112.65	$891.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $368.31 / $578.77	Facility		$205.62	$368.31	$578.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.38 / $461.38 / $530.85	Professional		$461.38	$461.38	$530.85
United Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $318.51 / $479.79	Professional		$269.95	$318.51	$479.79