Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.98 / $290.98 / $290.98	Facility		$290.98	$290.98	$290.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.98 / $446.86 / $1,996.57	Professional		$290.98	$446.86	$1,996.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $324.30	Facility		$324.30	$324.30	$324.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $795.80	Professional		$236.74	$236.74	$795.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $474.72 / $593.41 / $890.11	Professional		$474.72	$593.41	$890.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.15 / $167.15 / $445.95	Facility		$167.15	$167.15	$445.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $324.30 / $658.10	Professional		$236.74	$324.30	$658.10
United Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $258.92 / $390.03	Professional		$235.10	$258.92	$390.03