Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.82 / $317.82 / $317.82	Facility		$317.82	$317.82	$317.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $433.84 / $1,729.14	Professional		$301.52	$433.84	$1,729.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $340.42	Facility		$340.42	$340.42	$340.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $340.42 / $340.42	Professional		$248.51	$340.42	$340.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $460.89 / $576.12 / $864.18	Professional		$460.89	$576.12	$864.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $161.69 / $432.97	Facility		$161.69	$161.69	$432.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $340.42 / $588.30	Professional		$248.51	$340.42	$588.30
United Facility/Professional Professional Modifier Low / Median / High Price $231.57 / $250.45 / $383.26	Professional		$231.57	$250.45	$383.26