Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.57 / $212.57 / $212.57	Facility		$212.57	$212.57	$212.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.57 / $326.45 / $1,962.56	Professional		$212.57	$326.45	$1,962.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $382.03	Professional		$278.88	$382.03	$382.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.76 / $353.45 / $530.17	Professional		$282.76	$353.45	$530.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $120.22 / $382.03	Facility		$120.22	$120.22	$382.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.87 / $382.03 / $476.04	Professional		$259.87	$382.03	$476.04
United Facility/Professional Professional Modifier Low / Median / High Price $242.50 / $257.63 / $404.17	Professional		$242.50	$257.63	$404.17