Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.78 / $622.63 / $2,889.57	Professional		$464.78	$622.63	$2,889.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $615.17	Facility		$615.17	$615.17	$615.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.17 / $615.17 / $707.82	Professional		$615.17	$615.17	$707.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $150.21 / $1,188.42	Professional		$80.11	$150.21	$1,188.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.17 / $491.09 / $771.72	Facility		$274.17	$491.09	$771.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.17 / $615.17 / $707.82	Professional		$615.17	$615.17	$707.82
United Facility/Professional Professional Modifier Low / Median / High Price $359.93 / $424.69 / $639.73	Professional		$359.93	$424.69	$639.73