Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.08 / $487.08 / $487.08	Facility		$487.08	$487.08	$487.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.08 / $748.01 / $2,782.49	Professional		$487.08	$748.01	$2,782.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $551.53	Facility		$551.53	$551.53	$551.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $551.53 / $551.53	Professional		$402.62	$551.53	$551.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.64 / $993.31 / $1,489.96	Professional		$794.64	$993.31	$1,489.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.27 / $284.27 / $746.48	Facility		$284.27	$284.27	$746.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $551.53 / $1,130.15	Professional		$402.62	$551.53	$1,130.15
United Facility/Professional Professional Modifier Low / Median / High Price $399.83 / $440.35 / $663.31	Professional		$399.83	$440.35	$663.31