Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.91 / $401.91 / $401.91	Facility		$401.91	$401.91	$401.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.91 / $548.65 / $2,585.81	Professional		$401.91	$548.65	$2,585.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $420.01 / $420.01	Facility		$420.01	$420.01	$420.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $420.01 / $420.01	Professional		$306.61	$420.01	$420.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $582.85 / $728.57 / $1,092.85	Professional		$582.85	$728.57	$1,092.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $216.49 / $547.52	Facility		$216.49	$216.49	$547.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $420.01 / $853.79	Professional		$306.61	$420.01	$853.79
United Facility/Professional Professional Modifier Low / Median / High Price $310.04 / $335.33 / $516.74	Professional		$310.04	$335.33	$516.74