Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.66 / $513.66 / $513.66	Facility		$513.66	$513.66	$513.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $701.19 / $2,279.96	Professional		$438.50	$701.19	$2,279.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $589.44	Facility		$589.44	$589.44	$589.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $589.44 / $589.44	Professional		$430.29	$589.44	$589.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $744.90 / $931.13 / $1,396.69	Professional		$744.90	$931.13	$1,396.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.51 / $254.51 / $699.75	Facility		$254.51	$254.51	$699.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $589.44 / $926.03	Professional		$430.29	$589.44	$926.03
United Facility/Professional Professional Modifier Low / Median / High Price $356.31 / $394.23 / $603.27	Professional		$356.31	$394.23	$603.27