Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $1,230.27	Facility		$389.05	$549.54	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Professional		$354.81	$354.81	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $426.58 / $512.86	Facility		$354.81	$426.58	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $724.44	Professional		$338.84	$436.52	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $371.54 / $588.84	Facility		$354.81	$371.54	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $426.58	Professional		$354.81	$354.81	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $380.19	Professional		$338.84	$354.81	$380.19