Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.08 / $716.72 / $3,355.80	Professional		$536.08	$716.72	$3,355.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $394.97	Facility		$394.97	$394.97	$394.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $394.97 / $897.69	Professional		$394.97	$394.97	$897.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.46 / $171.69 / $1,350.30	Professional		$114.46	$171.69	$1,350.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $810.41 / $900.22	Facility		$394.97	$810.41	$900.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $394.97 / $897.69	Professional		$394.97	$394.97	$897.69
United Facility/Professional Professional Modifier Low / Median / High Price $474.47 / $548.04 / $862.67	Professional		$474.47	$548.04	$862.67