Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.16 / $547.16 / $547.16	Facility		$547.16	$547.16	$547.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.16 / $840.30 / $4,007.29	Professional		$547.16	$840.30	$4,007.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $740.83	Facility		$740.83	$740.83	$740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $740.83 / $740.83	Professional		$540.80	$740.83	$740.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $892.68 / $1,115.85 / $1,673.79	Professional		$892.68	$1,115.85	$1,673.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.49 / $335.49 / $838.58	Facility		$335.49	$335.49	$838.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $740.83 / $1,440.01	Professional		$540.80	$740.83	$1,440.01
United Facility/Professional Professional Modifier Low / Median / High Price $471.86 / $519.67 / $782.82	Professional		$471.86	$519.67	$782.82