Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.32 / $560.32 / $560.32	Facility		$560.32	$560.32	$560.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.32 / $860.50 / $4,395.89	Professional		$560.32	$860.50	$4,395.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $714.02	Facility		$714.02	$714.02	$714.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $714.01 / $714.02	Professional		$521.23	$714.01	$714.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $914.15 / $1,142.69 / $1,714.03	Professional		$914.15	$1,142.69	$1,714.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.03 / $368.03 / $858.74	Facility		$368.03	$368.03	$858.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $714.02 / $1,595.19	Professional		$521.23	$714.02	$1,595.19
United Facility/Professional Professional Modifier Low / Median / High Price $517.62 / $570.07 / $858.74	Professional		$517.62	$570.07	$858.74