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 $467.74 / $660.69 / $1,202.26	Professional		$467.74	$660.69	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,621.81	Professional		$524.81	$524.81	$1,621.81
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 / $1,412.54	Facility		$354.81	$851.14	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,318.26	Professional		$524.81	$524.81	$1,318.26
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