Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,096.48	Professional		$512.86	$691.83	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $2,041.74	Professional		$549.54	$549.54	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,949.84	Professional		$1,047.13	$1,318.26	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $977.24 / $1,513.56	Facility		$389.05	$977.24	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,621.81	Professional		$549.54	$549.54	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $660.69 / $1,621.81	Facility		$467.74	$660.69	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $912.01	Professional		$549.54	$602.56	$912.01