Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.16 / $456.16 / $456.16	Facility		$456.16	$456.16	$456.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.16 / $700.53 / $2,605.80	Professional		$456.16	$700.53	$2,605.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $576.88 / $576.88	Professional		$421.12	$576.88	$576.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $744.20 / $930.26 / $1,395.39	Professional		$744.20	$930.26	$1,395.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.24 / $266.24 / $699.10	Facility		$266.24	$266.24	$699.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $576.88 / $1,058.35	Professional		$421.12	$576.88	$1,058.35
United Facility/Professional Facility Modifier Low / Median / High Price $936.84 / $936.84 / $1,102.16	Facility		$936.84	$936.84	$1,102.16
United Facility/Professional Professional Modifier Low / Median / High Price $374.45 / $412.39 / $621.22	Professional		$374.45	$412.39	$621.22