Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.28 / $462.28 / $462.28	Facility		$462.28	$462.28	$462.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.06 / $709.93 / $2,946.76	Professional		$460.06	$709.93	$2,946.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $550.80	Facility		$550.80	$550.80	$550.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $550.80	Professional		$402.09	$550.80	$550.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $754.20 / $942.75 / $1,414.12	Professional		$754.20	$942.75	$1,414.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.70 / $246.70 / $708.47	Facility		$246.70	$246.70	$708.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $925.26	Professional		$402.09	$550.80	$925.26
United Facility/Professional Professional Modifier Low / Median / High Price $346.98 / $382.15 / $575.64	Professional		$346.98	$382.15	$575.64