Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.77 / $583.77 / $583.77	Facility		$583.77	$583.77	$583.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.29 / $708.96 / $890.75	Professional		$449.29	$708.96	$890.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $216.43 / $865.39	Professional		$60.00	$216.43	$865.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $609.71 / $853.56	Facility		$119.36	$609.71	$853.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $630.72 / $630.72	Professional		$257.60	$630.72	$630.72
United Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $118.71 / $361.22	Professional		$82.95	$118.71	$361.22