Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $478.30 / $478.30	Facility		$308.68	$478.30	$478.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $392.03 / $645.04	Professional		$308.68	$392.03	$645.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Facility		$308.68	$308.68	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.24 / $226.24 / $226.24	Professional		$226.24	$226.24	$226.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.92 / $308.68 / $308.68	Facility		$293.92	$308.68	$308.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68