Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,122.02	Professional		$478.63	$660.69	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,995.26	Professional		$691.83	$691.83	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,698.24	Professional		$891.25	$1,122.02	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $851.14 / $1,318.26	Facility		$354.81	$851.14	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,445.44	Professional		$691.83	$691.83	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $1,479.11	Facility		$416.87	$812.83	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $812.83	Professional		$501.19	$630.96	$812.83