Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.09 / $423.09 / $423.09	Facility		$423.09	$423.09	$423.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.09 / $577.54 / $2,145.54	Professional		$423.09	$577.54	$2,145.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $530.41	Facility		$530.41	$530.41	$530.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $387.20 / $1,007.66	Professional		$387.20	$387.20	$1,007.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $613.56 / $766.96 / $1,150.44	Professional		$613.56	$766.96	$1,150.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.50 / $239.50 / $576.37	Facility		$239.50	$239.50	$576.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $530.41 / $1,161.92	Professional		$387.20	$530.41	$1,161.92
United Facility/Professional Professional Modifier Low / Median / High Price $334.97 / $370.99 / $567.71	Professional		$334.97	$370.99	$567.71