Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $977.24	Facility		$371.54	$524.81	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $524.81	Professional		$338.84	$354.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Professional		$331.13	$331.13	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $588.84	Professional		$331.13	$331.13	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $18,197.01	Facility		$338.84	$354.81	$18,197.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $338.84 / $338.84	Facility		$0.34	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84