Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.47 / $502.47 / $502.47	Facility		$502.47	$502.47	$502.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $439.00 / $502.47	Professional		$439.00	$439.00	$502.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $448.00 / $448.00	Professional		$448.00	$448.00	$448.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.31 / $277.70 / $426.92	Facility		$237.31	$277.70	$426.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $528.91 / $528.91	Professional		$528.91	$528.91	$528.91