Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.45 / $394.45 / $394.45	Facility		$394.45	$394.45	$394.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.45 / $538.45 / $2,256.09	Professional		$394.45	$538.45	$2,256.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $555.76	Facility		$555.76	$555.76	$555.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $555.76 / $555.76	Professional		$405.70	$555.76	$555.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $572.03 / $715.04 / $1,072.56	Professional		$572.03	$715.04	$1,072.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $224.98 / $555.76	Facility		$224.98	$224.98	$555.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $555.76 / $898.88	Professional		$405.70	$555.76	$898.88
United Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $348.49 / $524.95	Professional		$322.20	$348.49	$524.95