Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.47 / $422.47 / $422.47	Facility		$422.47	$422.47	$422.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.47 / $576.71 / $2,887.60	Professional		$422.47	$576.71	$2,887.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $485.57	Facility		$485.57	$485.57	$485.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $485.57 / $485.57	Professional		$354.47	$485.57	$485.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $612.66 / $765.83 / $1,148.74	Professional		$612.66	$765.83	$1,148.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.75 / $241.75 / $575.54	Facility		$241.75	$241.75	$575.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $485.57 / $889.30	Professional		$354.47	$485.57	$889.30
United Facility/Professional Professional Modifier Low / Median / High Price $346.23 / $374.47 / $570.40	Professional		$346.23	$374.47	$570.40