Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.00 / $446.00 / $446.00	Facility		$446.00	$446.00	$446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $608.82 / $2,221.39	Professional		$446.00	$608.82	$2,221.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $496.34	Facility		$496.34	$496.34	$496.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $1,058.54	Professional		$362.33	$362.33	$1,058.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $646.78 / $808.48 / $1,212.72	Professional		$646.78	$808.48	$1,212.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.97 / $247.97 / $607.57	Facility		$247.97	$247.97	$607.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $496.34 / $1,012.85	Professional		$362.33	$496.34	$1,012.85
United Facility/Professional Professional Modifier Low / Median / High Price $355.13 / $384.10 / $578.59	Professional		$355.13	$384.10	$578.59