Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.12 / $450.12 / $450.12	Facility		$450.12	$450.12	$450.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.46 / $614.45 / $2,285.62	Professional		$435.46	$614.45	$2,285.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $525.23	Facility		$525.23	$525.23	$525.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $525.23 / $525.23	Professional		$383.42	$525.23	$525.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $652.76 / $815.95 / $1,223.92	Professional		$652.76	$815.95	$1,223.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $245.20 / $613.19	Facility		$245.20	$245.20	$613.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $525.23 / $928.33	Professional		$383.42	$525.23	$928.33
United Facility/Professional Professional Modifier Low / Median / High Price $334.44 / $361.72 / $544.88	Professional		$334.44	$361.72	$544.88