Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.64 / $347.64 / $347.64	Facility		$347.64	$347.64	$347.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.32 / $474.56 / $1,765.15	Professional		$336.32	$474.56	$1,765.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $405.51 / $405.51	Facility		$405.51	$405.51	$405.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $405.51 / $405.51	Professional		$296.02	$405.51	$405.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $504.15 / $630.19 / $945.28	Professional		$504.15	$630.19	$945.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.36 / $180.36 / $473.58	Facility		$180.36	$180.36	$473.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $405.51 / $716.95	Professional		$296.02	$405.51	$716.95
United Facility/Professional Professional Modifier Low / Median / High Price $258.29 / $279.36 / $420.82	Professional		$258.29	$279.36	$420.82