Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $645.65	Professional		$251.19	$346.74	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,000.00	Professional		$354.81	$354.81	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $977.24	Professional		$512.86	$645.65	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $489.78 / $758.58	Facility		$186.21	$489.78	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $794.33	Professional		$354.81	$354.81	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $794.33	Facility		$223.87	$436.52	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $436.52	Professional		$269.15	$331.13	$436.52