Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $707.95	Professional		$346.74	$457.09	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,412.54	Professional		$398.11	$398.11	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,412.54	Professional		$758.58	$933.25	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $691.83 / $1,000.00	Facility		$245.47	$691.83	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $954.99	Professional		$398.11	$398.11	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $1,047.13	Facility		$295.12	$426.58	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $575.44	Professional		$346.74	$380.19	$575.44