Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.77 / $341.77 / $341.77	Facility		$341.77	$341.77	$341.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.77 / $466.54 / $1,658.94	Professional		$341.77	$466.54	$1,658.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $444.49	Facility		$444.49	$444.49	$444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $444.49 / $444.49	Professional		$324.48	$444.49	$444.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $495.63 / $619.54 / $929.31	Professional		$495.63	$619.54	$929.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.18 / $185.18 / $465.61	Facility		$185.18	$185.18	$465.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $444.49 / $726.76	Professional		$324.48	$444.49	$726.76
United Facility/Professional Professional Modifier Low / Median / High Price $259.26 / $286.85 / $438.95	Professional		$259.26	$286.85	$438.95