Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.73 / $502.73 / $502.73	Facility		$502.73	$502.73	$502.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.73 / $772.05 / $2,702.30	Professional		$502.73	$772.05	$2,702.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $567.88	Facility		$567.88	$567.88	$567.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $1,440.94	Professional		$414.55	$414.55	$1,440.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $820.18 / $1,025.23 / $1,537.84	Professional		$820.18	$1,025.23	$1,537.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $292.70 / $770.47	Facility		$292.70	$292.70	$770.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $567.88 / $1,090.56	Professional		$414.55	$567.88	$1,090.56
United Facility/Professional Professional Modifier Low / Median / High Price $411.67 / $453.39 / $682.97	Professional		$411.67	$453.39	$682.97