Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $904.20 / $904.20	Facility		$579.97	$904.20	$904.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $736.56 / $1,296.08	Professional		$579.97	$736.56	$1,296.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Facility		$579.97	$579.97	$579.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $382.73 / $382.73 / $382.73	Professional		$382.73	$382.73	$382.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.27 / $316.55 / $579.97	Facility		$275.27	$316.55	$579.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97