Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.55 / $293.55 / $293.55	Facility		$293.55	$293.55	$293.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $450.80 / $1,499.87	Professional		$293.55	$450.80	$1,499.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $700.79	Professional		$276.70	$276.70	$700.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.90 / $598.63 / $897.94	Professional		$478.90	$598.63	$897.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.43 / $167.43 / $449.86	Facility		$167.43	$167.43	$449.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $379.04 / $652.57	Professional		$276.70	$379.04	$652.57
United Facility/Professional Professional Modifier Low / Median / High Price $234.40 / $259.33 / $390.66	Professional		$234.40	$259.33	$390.66