Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.45 / $285.45 / $285.45	Facility		$285.45	$285.45	$285.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $389.67 / $1,484.95	Professional		$264.70	$389.67	$1,484.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $315.70	Facility		$315.70	$315.70	$315.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $315.70 / $315.70	Professional		$230.47	$315.70	$315.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $413.96 / $517.46 / $776.19	Professional		$413.96	$517.46	$776.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $141.94 / $388.86	Facility		$141.94	$141.94	$388.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $315.70 / $606.40	Professional		$230.47	$315.70	$606.40
United Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $251.69 / $331.27	Professional		$203.29	$251.69	$331.27