Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.49 / $342.49 / $342.49	Facility		$342.49	$342.49	$342.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.52 / $467.52 / $1,907.98	Professional		$323.52	$467.52	$1,907.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $814.48	Professional		$287.52	$287.52	$814.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $496.67 / $620.84 / $931.26	Professional		$496.67	$620.84	$931.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $173.49 / $466.57	Facility		$173.49	$173.49	$466.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $393.88 / $727.55	Professional		$287.52	$393.88	$727.55
United Facility/Professional Professional Modifier Low / Median / High Price $248.47 / $268.73 / $404.80	Professional		$248.47	$268.73	$404.80