Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.17 / $361.17 / $361.17	Facility		$361.17	$361.17	$361.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.17 / $554.66 / $2,516.31	Professional		$361.17	$554.66	$2,516.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $408.71	Facility		$408.71	$408.71	$408.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $408.71 / $408.71	Professional		$298.36	$408.71	$408.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $589.24 / $736.55 / $1,104.82	Professional		$589.24	$736.55	$1,104.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.66 / $210.66 / $553.51	Facility		$210.66	$210.66	$553.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $408.71 / $863.15	Professional		$298.36	$408.71	$863.15
United Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $326.32 / $491.55	Professional		$296.30	$326.32	$491.55