Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.19 / $376.19 / $376.19	Facility		$376.19	$376.19	$376.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.62 / $513.52 / $1,989.59	Professional		$310.62	$513.52	$1,989.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $364.44	Facility		$364.44	$364.44	$364.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $364.44	Professional		$266.04	$364.44	$364.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $545.54 / $681.93 / $1,022.89	Professional		$545.54	$681.93	$1,022.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $166.57 / $512.47	Facility		$166.57	$166.57	$512.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $777.77	Professional		$266.04	$364.44	$777.77
United Facility/Professional Professional Modifier Low / Median / High Price $238.55 / $295.36 / $394.83	Professional		$238.55	$295.36	$394.83