Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.42 / $380.42 / $380.42	Facility		$380.42	$380.42	$380.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.42 / $584.22 / $2,908.59	Professional		$380.42	$584.22	$2,908.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $626.01	Facility		$626.01	$626.01	$626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $626.01 / $626.01	Professional		$456.99	$626.01	$626.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $620.64 / $775.80 / $1,163.70	Professional		$620.64	$775.80	$1,163.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.51 / $243.51 / $626.01	Facility		$243.51	$243.51	$626.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $626.01 / $944.06	Professional		$456.99	$626.01	$944.06
United Facility/Professional Professional Modifier Low / Median / High Price $342.49 / $377.20 / $568.20	Professional		$342.49	$377.20	$568.20