Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $630.96	Professional		$302.00	$426.58	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,047.13	Professional		$331.13	$331.13	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,258.93	Professional		$676.08	$851.14	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $602.56 / $891.25	Facility		$229.09	$602.56	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $954.99	Professional		$331.13	$331.13	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $954.99	Facility		$275.42	$537.03	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $537.03	Professional		$323.59	$407.38	$537.03