Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.77 / $628.77 / $628.77	Facility		$628.77	$628.77	$628.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.77 / $965.62 / $4,191.72	Professional		$628.77	$965.62	$4,191.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $680.86 / $680.86	Professional		$497.03	$680.86	$680.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,025.81 / $1,282.27 / $1,923.40	Professional		$1,025.81	$1,282.27	$1,923.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $350.94 / $963.64	Facility		$350.94	$350.94	$963.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $680.86 / $1,335.30	Professional		$497.03	$680.86	$1,335.30
United Facility/Professional Facility Modifier Low / Median / High Price $538.75 / $538.75 / $538.75	Facility		$538.75	$538.75	$538.75
United Facility/Professional Professional Modifier Low / Median / High Price $493.58 / $543.59 / $818.85	Professional		$493.58	$543.59	$818.85