Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.44 / $638.44 / $638.44	Facility		$638.44	$638.44	$638.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $573.33	Professional		$422.89	$422.89	$573.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $422.89 / $703.90	Facility		$422.89	$422.89	$703.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Professional		$422.89	$422.89	$422.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.06 / $430.56 / $666.69	Professional		$410.06	$430.56	$666.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $422.89 / $703.90	Facility		$422.89	$422.89	$703.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $509.79	Professional		$422.89	$422.89	$509.79
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $448.26	Professional		$422.89	$422.89	$448.26