Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.92 / $470.92 / $470.92	Facility		$470.92	$470.92	$470.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $642.84 / $1,897.40	Professional		$394.97	$642.84	$1,897.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $410.92	Professional		$299.97	$410.92	$410.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $682.92 / $853.66 / $1,280.49	Professional		$682.92	$853.66	$1,280.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $211.80 / $641.52	Facility		$211.80	$211.80	$641.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $824.95	Professional		$299.97	$410.92	$824.95
United Facility/Professional Professional Modifier Low / Median / High Price $264.67 / $328.08 / $494.21	Professional		$264.67	$328.08	$494.21