Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $776.25	Professional		$331.13	$457.09	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,288.25	Professional		$416.87	$416.87	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,148.15	Professional		$616.60	$776.25	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $575.44 / $1,000.00	Facility		$245.47	$575.44	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,202.26	Professional		$416.87	$416.87	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $575.44 / $1,047.13	Facility		$295.12	$575.44	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $575.44	Professional		$354.81	$436.52	$575.44