Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $870.80 / $870.80	Facility		$558.46	$870.80	$870.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $709.24 / $1,422.45	Professional		$558.46	$709.24	$1,422.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Facility		$558.46	$558.46	$558.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $506.89 / $506.89 / $506.89	Professional		$506.89	$506.89	$506.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $458.57 / $505.21 / $558.46	Facility		$458.57	$505.21	$558.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46