Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $319.44 / $319.44	Facility		$319.44	$319.44	$319.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.44 / $490.56 / $2,150.21	Professional		$319.44	$490.56	$2,150.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $373.57	Facility		$373.57	$373.57	$373.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $373.57 / $373.57	Professional		$272.70	$373.57	$373.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $521.15 / $651.44 / $977.16	Professional		$521.15	$651.44	$977.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.02 / $180.02 / $489.55	Facility		$180.02	$180.02	$489.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $373.57 / $780.27	Professional		$272.70	$373.57	$780.27
United Facility/Professional Facility Modifier Low / Median / High Price $214.85 / $276.36 / $278.85	Facility		$214.85	$276.36	$278.85
United Facility/Professional Professional Modifier Low / Median / High Price $253.19 / $278.85 / $420.05	Professional		$253.19	$278.85	$420.05