Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.39 / $283.39 / $283.39	Facility		$283.39	$283.39	$283.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $386.85 / $1,660.67	Professional		$259.27	$386.85	$1,660.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $279.26	Facility		$279.26	$279.26	$279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $279.26 / $279.26	Professional		$203.86	$279.26	$279.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.97 / $513.72 / $770.58	Professional		$410.97	$513.72	$770.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $139.03 / $386.06	Facility		$139.03	$139.03	$386.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $279.26 / $602.02	Professional		$203.86	$279.26	$602.02
United Facility/Professional Professional Modifier Low / Median / High Price $199.12 / $215.36 / $331.86	Professional		$199.12	$215.36	$331.86