Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.93 / $402.93 / $402.93	Facility		$402.93	$402.93	$402.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.93 / $550.03 / $2,604.82	Professional		$402.93	$550.03	$2,604.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $456.40 / $456.40	Professional		$333.17	$456.40	$456.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $584.32 / $730.41 / $1,095.61	Professional		$584.32	$730.41	$1,095.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $235.24 / $548.90	Facility		$235.24	$235.24	$548.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $456.40 / $855.95	Professional		$333.17	$456.40	$855.95
United Facility/Professional Professional Modifier Low / Median / High Price $336.91 / $364.39 / $557.61	Professional		$336.91	$364.39	$557.61