Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,202.26	Professional		$602.56	$758.58	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $2,238.72	Professional		$602.56	$602.56	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,187.76	Professional		$1,148.15	$1,445.44	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,096.48 / $1,621.81	Facility		$426.58	$1,096.48	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,584.89	Professional		$602.56	$602.56	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,819.70	Facility		$512.86	$741.31	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,000.00	Professional		$602.56	$660.69	$1,000.00