Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.80 / $330.80 / $330.80	Facility		$330.80	$330.80	$330.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.91 / $451.57 / $1,893.13	Professional		$316.91	$451.57	$1,893.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $402.09 / $402.09	Professional		$293.52	$402.09	$402.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $419.75 / $599.65 / $839.51	Professional		$419.75	$599.65	$839.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $169.94 / $450.64	Facility		$169.94	$169.94	$450.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $402.09 / $702.72	Professional		$293.52	$402.09	$702.72
United Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $263.24 / $396.63	Professional		$243.38	$263.24	$396.63