Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.96 / $433.96 / $433.96	Facility		$433.96	$433.96	$433.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.96 / $666.44 / $3,085.35	Professional		$433.96	$666.44	$3,085.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $501.14 / $501.14	Professional		$365.83	$501.14	$501.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.99 / $884.99 / $1,327.48	Professional		$707.99	$884.99	$1,327.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $258.31 / $665.08	Facility		$258.31	$258.31	$665.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $501.14 / $939.86	Professional		$365.83	$501.14	$939.86
United Facility/Professional Professional Modifier Low / Median / High Price $363.30 / $400.12 / $602.72	Professional		$363.30	$400.12	$602.72