Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,023.29	Professional		$512.86	$660.69	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,905.46	Professional		$524.81	$524.81	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,737.80	Professional		$933.25	$1,148.15	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $870.96 / $1,548.82	Facility		$371.54	$870.96	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,819.70	Professional		$524.81	$524.81	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,548.82	Facility		$436.52	$630.96	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $851.14	Professional		$512.86	$575.44	$851.14