Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,122.02	Professional		$436.52	$616.60	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,513.56	Professional		$478.63	$478.63	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,737.80	Professional		$933.25	$1,174.90	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $851.14 / $1,258.93	Facility		$331.13	$851.14	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,230.27	Professional		$478.63	$478.63	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $1,380.38	Facility		$389.05	$758.58	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $758.58	Professional		$467.74	$588.84	$758.58