Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.11 / $544.11 / $544.11	Facility		$544.11	$544.11	$544.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $835.60 / $3,108.22	Professional		$186.00	$835.60	$3,108.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $616.27	Facility		$616.27	$616.27	$616.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $616.27 / $616.27	Professional		$449.88	$616.27	$616.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $887.70 / $1,109.63 / $1,664.44	Professional		$887.70	$1,109.63	$1,664.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $722.35 / $722.35	Facility		$616.27	$722.35	$722.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $616.27 / $1,262.44	Professional		$449.88	$616.27	$1,262.44
United Facility/Professional Professional Modifier Low / Median / High Price $470.09 / $492.02 / $783.48	Professional		$470.09	$492.02	$783.48