Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.07 / $353.07 / $385.59	Facility		$353.07	$353.07	$385.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $308.47 / $353.07	Professional		$297.32	$308.47	$353.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $321.72 / $321.72	Facility		$146.15	$321.72	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Professional		$321.72	$321.72	$321.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $341.02 / $351.25 / $1,500.00	Professional		$341.02	$351.25	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $176.21 / $321.72	Facility		$11.86	$176.21	$321.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Professional		$321.72	$321.72	$321.72
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $309.70 / $328.29	Professional		$309.70	$309.70	$328.29