Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.96 / $638.96 / $638.96	Facility		$638.96	$638.96	$638.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $981.26 / $3,650.06	Professional		$638.96	$981.26	$3,650.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $723.52	Facility		$723.52	$723.52	$723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $723.52 / $723.52	Professional		$528.16	$723.52	$723.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,527.02 / $1,908.78 / $2,863.17	Professional		$1,527.02	$1,908.78	$2,863.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $848.06 / $848.06	Facility		$723.52	$848.06	$848.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $723.52 / $1,482.50	Professional		$528.16	$723.52	$1,482.50
United Facility/Professional Professional Modifier Low / Median / High Price $534.09 / $577.66 / $869.29	Professional		$534.09	$577.66	$869.29