Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.43 / $645.82 / $645.82	Professional		$463.43	$645.82	$645.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.54 / $2,355.54 / $2,355.54	Facility		$2,355.54	$2,355.54	$2,355.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $2,355.54 / $2,355.54	Professional		$73.42	$2,355.54	$2,355.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $155.80 / $1,800.00	Professional		$75.00	$155.80	$1,800.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $489.66 / $778.22	Facility		$64.67	$489.66	$778.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $2,355.54 / $2,355.54	Professional		$73.42	$2,355.54	$2,355.54
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $437.19 / $703.66	Professional		$371.54	$437.19	$703.66