Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.24 / $642.24 / $642.24	Facility		$642.24	$642.24	$642.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.24 / $986.29 / $4,282.54	Professional		$642.24	$986.29	$4,282.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $752.15	Facility		$752.15	$752.15	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $1,702.10	Professional		$549.07	$549.07	$1,702.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.79 / $1,309.74 / $1,964.61	Professional		$1,047.79	$1,309.74	$1,964.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.68 / $387.68 / $984.26	Facility		$387.68	$387.68	$984.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $752.15 / $1,582.09	Professional		$549.07	$752.15	$1,582.09
United Facility/Professional Professional Modifier Low / Median / High Price $545.27 / $600.52 / $904.60	Professional		$545.27	$600.52	$904.60