Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $977.24	Professional		$457.09	$602.56	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,479.11	Professional		$457.09	$457.09	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,819.70	Professional		$977.24	$1,230.27	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $891.25 / $1,288.25	Facility		$323.59	$891.25	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,380.38	Professional		$457.09	$457.09	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $1,348.96	Facility		$380.19	$549.54	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $741.31	Professional		$446.68	$501.19	$741.31