Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.11 / $637.11 / $637.11	Facility		$637.11	$637.11	$637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.98 / $869.71 / $3,862.25	Professional		$602.98	$869.71	$3,862.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $765.11	Facility		$765.11	$765.11	$765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $765.11 / $765.11	Professional		$558.53	$765.11	$765.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $923.93 / $1,154.92 / $1,732.38	Professional		$923.93	$1,154.92	$1,732.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $323.35 / $867.93	Facility		$323.35	$323.35	$867.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $765.11 / $1,353.42	Professional		$558.53	$765.11	$1,353.42
United Facility/Professional Professional Modifier Low / Median / High Price $463.09 / $573.35 / $766.46	Professional		$463.09	$573.35	$766.46