Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.30 / $257.30 / $257.30	Facility		$257.30	$257.30	$257.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.30 / $395.14 / $1,900.41	Professional		$257.30	$395.14	$1,900.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $387.54 / $387.54	Professional		$282.89	$387.54	$387.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $419.78 / $524.73 / $787.09	Professional		$419.78	$524.73	$787.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $159.11 / $394.33	Facility		$159.11	$159.11	$394.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $387.54 / $689.61	Professional		$282.89	$387.54	$689.61
United Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $246.45 / $371.24	Professional		$223.78	$246.45	$371.24