Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.96 / $358.96 / $358.96	Facility		$358.96	$358.96	$358.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.96 / $490.01 / $2,410.98	Professional		$358.96	$490.01	$2,410.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $468.67	Facility		$468.67	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $468.67 / $468.67	Professional		$342.13	$468.67	$468.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $520.55 / $650.70 / $976.05	Professional		$520.55	$650.70	$976.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $201.85 / $489.02	Facility		$201.85	$201.85	$489.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $468.67 / $774.05	Professional		$342.13	$468.67	$774.05
United Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $312.66 / $478.46	Professional		$289.08	$312.66	$478.46