Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.51 / $512.51 / $512.51	Facility		$512.51	$512.51	$512.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.68 / $699.61 / $2,891.13	Professional		$495.68	$699.61	$2,891.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $695.50	Facility		$695.50	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $695.50 / $695.50	Professional		$507.72	$695.50	$695.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $743.22 / $929.03 / $1,393.54	Professional		$743.22	$929.03	$1,393.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.81 / $265.81 / $698.18	Facility		$265.81	$265.81	$698.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $695.50 / $1,152.11	Professional		$507.72	$695.50	$1,152.11
United Facility/Professional Professional Modifier Low / Median / High Price $380.68 / $411.74 / $630.05	Professional		$380.68	$411.74	$630.05