Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.44 / $643.44 / $643.44	Facility		$643.44	$643.44	$643.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.44 / $878.35 / $4,434.10	Professional		$643.44	$878.35	$4,434.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $812.21	Facility		$812.21	$812.21	$812.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $812.21 / $812.21	Professional		$592.91	$812.21	$812.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.12 / $1,166.41 / $1,749.61	Professional		$933.12	$1,166.41	$1,749.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.23 / $371.23 / $876.57	Facility		$371.23	$371.23	$876.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $812.21 / $1,350.73	Professional		$592.91	$812.21	$1,350.73
United Facility/Professional Professional Modifier Low / Median / High Price $531.66 / $575.03 / $879.95	Professional		$531.66	$575.03	$879.95