Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.12 / $471.12 / $471.12	Facility		$471.12	$471.12	$471.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.14 / $643.12 / $2,582.13	Professional		$403.14	$643.12	$2,582.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $419.41	Facility		$419.41	$419.41	$419.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $948.83	Professional		$306.17	$306.17	$948.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $683.21 / $854.02 / $1,281.03	Professional		$683.21	$854.02	$1,281.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.18 / $216.18 / $641.79	Facility		$216.18	$216.18	$641.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $419.41 / $805.45	Professional		$306.17	$419.41	$805.45
United Facility/Professional Professional Modifier Low / Median / High Price $309.61 / $334.86 / $504.53	Professional		$309.61	$334.86	$504.53