Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.21 / $334.21 / $334.21	Facility		$334.21	$334.21	$334.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.21 / $456.22 / $2,247.07	Professional		$334.21	$456.22	$2,247.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $957.18	Professional		$367.78	$367.78	$957.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $484.66 / $605.83 / $908.74	Professional		$484.66	$605.83	$908.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $188.13 / $503.81	Facility		$188.13	$188.13	$503.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $503.81 / $775.94	Professional		$367.78	$503.81	$775.94
United Facility/Professional Professional Modifier Low / Median / High Price $269.43 / $333.58 / $445.94	Professional		$269.43	$333.58	$445.94