Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.79 / $675.79 / $675.79	Facility		$675.79	$675.79	$675.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $583.32 / $675.79	Professional		$569.09	$583.32	$675.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $628.37 / $628.37	Facility		$471.24	$628.37	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $666.07 / $686.05 / $1,500.00	Professional		$666.07	$686.05	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.55 / $498.59 / $628.37	Facility		$363.55	$498.59	$628.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $592.79 / $628.37	Professional		$592.79	$592.79	$628.37