Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.52 / $602.52 / $602.52	Facility		$602.52	$602.52	$602.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.52 / $822.49 / $3,757.45	Professional		$602.52	$822.49	$3,757.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $875.29	Facility		$875.29	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $875.29 / $875.29	Professional		$638.96	$875.29	$875.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $873.77 / $1,092.22 / $1,638.33	Professional		$873.77	$1,092.22	$1,638.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $875.29	Facility		$349.02	$349.02	$875.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $875.29 / $1,332.91	Professional		$638.96	$875.29	$1,332.91
United Facility/Professional Professional Modifier Low / Median / High Price $499.85 / $618.87 / $814.56	Professional		$499.85	$618.87	$814.56