Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $812.83	Professional		$371.54	$467.74	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,148.15	Professional		$363.08	$363.08	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,148.15	Professional		$616.60	$776.25	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $575.44 / $1,047.13	Facility		$251.19	$575.44	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,230.27	Professional		$363.08	$363.08	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $1,047.13	Facility		$295.12	$426.58	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $575.44	Professional		$346.74	$389.05	$575.44