Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $602.56	Professional		$257.04	$371.54	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $977.24	Professional		$309.03	$309.03	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,202.26	Professional		$645.65	$812.83	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $537.03 / $724.44	Facility		$194.98	$537.03	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $724.44	Professional		$309.03	$309.03	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $812.83	Facility		$234.42	$457.09	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $457.09	Professional		$275.42	$346.74	$457.09