Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.49 / $621.49 / $621.49	Facility		$621.49	$621.49	$621.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.49 / $954.43 / $3,550.50	Professional		$621.49	$954.43	$3,550.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $741.89 / $745.36	Professional		$541.58	$741.89	$745.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,013.94 / $1,267.43 / $1,901.14	Professional		$1,013.94	$1,267.43	$1,901.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.74 / $362.74 / $952.48	Facility		$362.74	$362.74	$952.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $741.89 / $1,442.09	Professional		$541.58	$741.89	$1,442.09
United Facility/Professional Professional Modifier Low / Median / High Price $510.19 / $561.89 / $846.40	Professional		$510.19	$561.89	$846.40