Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $273.77 / $273.77	Facility		$273.77	$273.77	$273.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.77 / $420.45 / $1,962.56	Professional		$273.77	$420.45	$1,962.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $347.46	Professional		$253.65	$347.46	$347.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.67 / $558.34 / $837.51	Professional		$446.67	$558.34	$837.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $166.32 / $419.60	Facility		$166.32	$166.32	$419.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $667.95	Professional		$253.65	$347.46	$667.95
United Facility/Professional Professional Modifier Low / Median / High Price $233.93 / $257.63 / $388.08	Professional		$233.93	$257.63	$388.08