Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.87 / $473.87 / $473.87	Facility		$473.87	$473.87	$473.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.94 / $646.87 / $2,125.23	Professional		$386.94	$646.87	$2,125.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $402.56	Facility		$402.56	$402.56	$402.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $402.56 / $402.56	Professional		$293.87	$402.56	$402.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $687.19 / $858.99 / $1,288.48	Professional		$687.19	$858.99	$1,288.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $207.50 / $645.54	Facility		$207.50	$207.50	$645.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $402.56 / $947.38	Professional		$293.87	$402.56	$947.38
United Facility/Professional Professional Modifier Low / Median / High Price $297.17 / $321.41 / $491.84	Professional		$297.17	$321.41	$491.84