Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.32 / $556.32 / $556.32	Facility		$556.32	$556.32	$556.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.32 / $854.34 / $3,732.96	Professional		$556.32	$854.34	$3,732.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $751.98	Facility		$751.98	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $1,428.62	Professional		$548.95	$548.95	$1,428.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $907.61 / $1,134.52 / $1,701.78	Professional		$907.61	$1,134.52	$1,701.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.52 / $312.52 / $852.60	Facility		$312.52	$312.52	$852.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $751.98 / $1,295.46	Professional		$548.95	$751.98	$1,295.46
United Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $479.78 / $484.10	Facility		$373.00	$479.78	$484.10
United Facility/Professional Professional Modifier Low / Median / High Price $439.56 / $484.10 / $729.23	Professional		$439.56	$484.10	$729.23