Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.02 / $369.77 / $1,704.98	Professional		$276.02	$369.77	$1,704.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $376.09	Facility		$376.09	$376.09	$376.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.09 / $376.09 / $445.19	Professional		$376.09	$376.09	$445.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $83.43 / $656.10	Professional		$55.62	$83.43	$656.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.78 / $329.46 / $463.51	Facility		$232.78	$329.46	$463.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.09 / $376.09 / $445.19	Professional		$376.09	$376.09	$445.19
United Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $333.38 / $543.16	Professional		$286.08	$333.38	$543.16